NPI 1003645193
Timothy Rashid Fitzgerald
Practice location
- Address
- 2211 Lake Club Dr STE 105, Columbus, OH 43232-3204
- Phone
- (330) 507-5129
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003645193
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Jul 2024
- Record last updated
- 29 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.