Provider Demographics
NPI:1265427223
Name:FITZGERALD, DENIS B (MD)
Entity type:Individual
Prefix:DR
First Name:DENIS
Middle Name:B
Last Name:FITZGERALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:180 WHITE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1166
Mailing Address - Country:US
Mailing Address - Phone:732-530-8666
Mailing Address - Fax:732-530-7911
Practice Address - Street 1:180 WHITE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1166
Practice Address - Country:US
Practice Address - Phone:732-530-8666
Practice Address - Fax:732-530-7911
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2024-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04578100207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0592609Medicaid
NJ542591Medicare ID - Type Unspecified
NJ0592609Medicaid