Doctor Name: | JEREMIAH P FITZGERALD |
NPI Number: | 1093849457 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | A.H. |
License Number: | A |
Business Practice Address: | 1165 Triton Dr Foster City, CA - 944041213 |
Business Phone Number: | 6503583121 |
Business Fax Number: | |
Mailing Address: | 1165 Triton Dr, FOSTER CITY |
State: | CA |
Postal Code: | 944041213 |
Phone Number: | 6503583121 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |