Basic Information
| Provider Information | |||||||||
| NPI: | 1033319132 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RICHARD H FITTON JR MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 PRESIDENT AVE RM 124 | ||||||||
| Address2: | |||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027205923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086763411 | ||||||||
| FaxNumber: | 5082356665 | ||||||||
| Practice Location | |||||||||
| Address1: | 1030 PRESIDENT AVE RM 124 | ||||||||
| Address2: | |||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027205923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086763411 | ||||||||
| FaxNumber: | 5082356665 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2007 | ||||||||
| LastUpdateDate: | 01/28/2009 | ||||||||
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| AuthorizedOfficialLastName: | FITTON | ||||||||
| AuthorizedOfficialFirstName: | RICHARD | ||||||||
| AuthorizedOfficialMiddleName: | HOWORTH | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5086763411 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 24500 | MA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 739115 | 01 | TUFTS | OTHER | M11520 | 01 | MA | BCBS MA | OTHER | 23591 | 01 | MA | BOSTON MEDICAL CENTER | OTHER | MB6198 | 01 | MA | HEALTHNET | OTHER | RF00406 | 01 | RI | EDS MEDICAID | OTHER | B20429401 | 01 | CIGNA | OTHER | 0007923 | 01 | MA | NEIGHBORHOOD HEALTHPLAN | OTHER | 1001000 | 01 | UNITED HEALTH | OTHER | 19282 | 01 | MA | HARVARD PILGRIM HEALTHCAR | OTHER | 4189 | 01 | RI | BCBS RHODE ISLAND | OTHER | 84875 | 01 | AETNA | OTHER | 889509 | 01 | FIRST HEALTH | OTHER | 9736743 | 05 | MA | MEDICAID | S006975 | 01 | TRICARE | OTHER |