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1487756557
DENISE FITZGERALD
FARMINGTON, CT
NPI
1487756557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 000108)
Enumeration Date
2006-09-01
Last Update Date
2022-09-26
Business Address
-- DENISE FITZGERALD PA
263 FARMINGTON AVE
FARMINGTON, CT 06030-6227
Phone number: 860-679-3540
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Mailing Address
-- DENISE FITZGERALD PA
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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