Provider Demographics
NPI:1437200060
Name:FITZPATRICK, COLLEEN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:MARIE
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7526
Mailing Address - Country:US
Mailing Address - Phone:410-337-2877
Mailing Address - Fax:410-337-2839
Practice Address - Street 1:120 SISTER PIERRE DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7526
Practice Address - Country:US
Practice Address - Phone:410-337-2877
Practice Address - Fax:410-337-2839
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0029169207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology