| Susan E Fitzgerald Dmd Llc | |
|
246 Woburn St Reading MA 01867 | |
| (781) 942-1622 | |
| (781) 942-7111 |
| Full Name | Susan E Fitzgerald Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 246 Woburn St, Reading, Massachusetts |
| Authorized Official Name and Position | Susan E Fitzgerald (SOLE MEMBER,OWNER) |
| Authorized Official Contact | 7819421622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E Fitzgerald Dmd Llc 246 Woburn St Reading MA 01867 Ph: (781) 942-1622 | Susan E Fitzgerald Dmd Llc 246 Woburn St Reading MA 01867 Ph: (781) 942-1622 |
| NPI Number | 1902176514 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902176514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16226 (Massachusetts) | Primary |
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