Brian E Fitzgerald, DMD Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Bridgeport, CT

NPI

1154518405

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

4982 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2007-10-01

Last updated

2007-11-07