Dr. Edward Brice Fitzgerald
Cardiothoracic Vascular Surgeon
1616 W 116th St
Carmel
, Indiana 46032-8857
Dr. Edward Brice Fitzgerald
Cardiothoracic Vascular Surgeon
1616 W 116th St
Carmel
, Indiana 46032-8857
(317) 569-0123
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Edward Brice Fitzgerald
- 1616 W 116th St
- Carmel, IN
- Zip : 46032-8857
- Fax : (317) 569-0123
- Phone : (317) 844-8190
Second Address
- Dr. Edward Brice Fitzgerald
- 1616 W 116th St
- Carmel, IN
- Zip : 46032-8857
- Fax : (317) 569-0123
- Phone : (317) 844-8190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01022613A | IN |
National Provider Identifier
| NPI | 1154456911 |
|---|---|
| Provider Name | Dr. Edward Brice Fitzgerald |
| First Address | Carmel, IN 46032-8857 |
| Second Address | Carmel, IN 46032-8857 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01022163A | STATE LICENSE (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.