Colleen Mccamant Fitzpatrick, MD | |
5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 | |
(610) 262-6641 | |
(610) 262-0428 |
Full Name | Colleen Mccamant Fitzpatrick |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5649 Wynnewood Dr, Laurys Station, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154522266 | NPI | - | NPPES |
MD431533 | Other | PA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD431533 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
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Colleen Mccamant Fitzpatrick, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Colleen Mccamant Fitzpatrick, MD 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 Ph: (610) 262-6641 |
Dr. Barbara Levin Katz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428 | |
Nicole Zeiner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6647 | |
Dr. Brian Fuller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428 | |
Viktoriya Wolfe, Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 | |
Alisa Chanchenchop, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 |