| J. Ward Fitzpatrick Dds | |
|
123 Pike St Port Jervis NY 12771-1824 | |
| (845) 856-3311 | |
| (845) 856-5389 |
| Full Name | J. Ward Fitzpatrick Dds |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 123 Pike St, Port Jervis, New York |
| Authorized Official Name and Position | Ward Fitzpatrick (OWNER) |
| Authorized Official Contact | 5702833300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Ward Fitzpatrick Dds 123 Pike St Port Jervis NY 12771-1824 Ph: (845) 856-3311 | J. Ward Fitzpatrick Dds 123 Pike St Port Jervis NY 12771-1824 Ph: (845) 856-3311 |
| NPI Number | 1720331036 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720331036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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