Basic Information
Provider Information
NPI: 1326314097
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FITZPATRICK
FirstName: NEAL
MiddleName: MORGAN
NamePrefix:  
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Credential:  
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Mailing Information
Address1: 801 OSTRUM ST
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180151000
CountryCode: US
TelephoneNumber: 4845263890
FaxNumber:  
Practice Location
Address1: 709 DELAWARE AVE
Address2:  
City: FOUNTAIN HILL
State: PA
PostalCode: 180151107
CountryCode: US
TelephoneNumber: 4845263890
FaxNumber: 8668299836
Other Information
ProviderEnumerationDate: 03/28/2012
LastUpdateDate: 07/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 07/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD454772PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001XMD454772PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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