IndividualActive
Mark Fitzgerald, MD, PHD
NPI 1992099121 · Neurology with Special Qualifications in Child Neurology Physician · Philadelphia, PA
Provider details
- NPI number
- 1992099121
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- MT198925 (PA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MT198925 (PA)
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Division of Neurology
Philadelphia, PA 19104
Phone: (215) 590-1719
Fax: (215) 590-1771
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2011-06-06
- Last updated
- 2016-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.