Provider Demographics
NPI:1710297981
Name:FITZGERALD, SANDRA MORGAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MORGAN
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:20 PATRIOT PL
Mailing Address - Street 2:DAY SURGERY UNIT
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1375
Mailing Address - Country:US
Mailing Address - Phone:508-718-4055
Mailing Address - Fax:
Practice Address - Street 1:20 PATRIOT PL
Practice Address - Street 2:DAY SURGERY UNIT
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1375
Practice Address - Country:US
Practice Address - Phone:508-718-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2016-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPA4027363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant