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1154518405
BRIAN E FITZGERALD
BRIDGEPORT, CT
NPI
1154518405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CT 4982)
Enumeration Date
2007-10-01
Last Update Date
2007-11-07
Business Address
Dr. BRIAN E FITZGERALD DMD
4747 MAIN ST
BRIDGEPORT, CT 06606-1804
Phone number: 203-371-5595
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Mailing Address
Dr. BRIAN E FITZGERALD DMD
4747 MAIN ST
BRIDGEPORT, CT 06606-1804
Phone number: 203-371-5595
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