Susan Kathleen Fitzgerald in Manassas - Family Medicine

Susan Kathleen Fitzgerald - NPI 1730175209

Susan Kathleen Fitzgerald is a Family Medicine in Manassas, Virginia. Susan Kathleen Fitzgerald practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Kathleen Fitzgerald is 1730175209. The last update date is 2011-01-06.

Susan Kathleen Fitzgerald's current location address is 8100 Ashton Ave, Manassas, Virginia. You can contact this provider via phone number 7033345801 and fax number 7033345805. The mailing address for Susan Kathleen Fitzgerald is 8100 Ashton Ave, Manassas, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Kathleen Fitzgerald
Address 8100 Ashton Ave, Manassas, Virginia
Phone Number 7033345801
Fax Number 7033345805
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1730175209
Provider Enumeration Date 2005-09-21
Last Updated Date 2011-01-06

Provider Mailing Address Detail

Address 8100 Ashton Ave
City Manassas
State Virginia (VA)
Post Code 201095622
Phone Number 7033345801
Fax Number 7033345805

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 101057533
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2199062 AETNA HMO
309288 VA ANTHEM BC/BS
5649863 VA CIGNA PPO/HMO
7049008 AETNA

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FAQs about Susan Kathleen Fitzgerald

What is the unique provider identifier assigned to Susan Kathleen Fitzgerald?

The Susan Kathleen Fitzgerald has been issued the NPI (National Provider Identifier) 1730175209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Susan Kathleen Fitzgerald's facilities are situated?

The facilities of Susan Kathleen Fitzgerald are physically located at the following address: 8100 Ashton Ave, Manassas, VA, 201095622.

What is the Susan Kathleen Fitzgerald's specialty and taxonomy code?

The Susan Kathleen Fitzgerald's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Susan Kathleen Fitzgerald receive the assignment of its 1730175209 from the Centers for Medicare & Medicaid Services?

The Susan Kathleen Fitzgerald was issued its 1730175209 by the Centers for Medicare & Medicaid Services on 2005-09-21.

When was the information regarding Susan Kathleen Fitzgerald, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan Kathleen Fitzgerald, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-06.

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