Provider Demographics
NPI:1376649640
Name:FITZMAURICE, ARTHUR GERARD JR (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:GERARD
Last Name:FITZMAURICE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2013
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-2013
Mailing Address - Country:US
Mailing Address - Phone:603-578-5090
Mailing Address - Fax:603-595-2997
Practice Address - Street 1:17 RIVERSIDE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1304
Practice Address - Country:US
Practice Address - Phone:603-595-3614
Practice Address - Fax:603-595-3654
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5887207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81116938Medicaid
NH020355979OtherTAX ID
E33996Medicare UPIN
NH81116938Medicaid