Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT195404 | PA |
N | 208600000X | Surgeon | MT195404 | PA |
Y | 2086S0127X | Trauma Surgeon | MD457748 | PA |
NPI | 1003048802 |
---|---|
Provider Name | Karima C Fitzgerald |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2009 |
Last Update Date | 16/06/2016 |