Provider Demographics
NPI:1275965428
Name:FITZGERALD, JAMES D (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:FITZGERALD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1456 FERRY ROAD
Mailing Address - Street 2:SUITE 305A
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-6595
Mailing Address - Country:US
Mailing Address - Phone:215-340-9100
Mailing Address - Fax:215-340-9103
Practice Address - Street 1:1456 FERRY ROAD
Practice Address - Street 2:SUITE 305A
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-6595
Practice Address - Country:US
Practice Address - Phone:215-340-9100
Practice Address - Fax:215-340-9103
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADC010758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor