| Colleen Mccamant Fitzpatrick, MD | |
|
5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 | |
| (610) 262-6641 | |
| (610) 262-0428 |
| Full Name | Colleen Mccamant Fitzpatrick |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5649 Wynnewood Dr, Laurys Station, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154522266 | NPI | - | NPPES |
| MD431533 | Other | PA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD431533 (Pennsylvania) | Primary |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Mccamant Fitzpatrick, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Colleen Mccamant Fitzpatrick, MD 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 Ph: (610) 262-6641 |
Dr. Barbara Levin Katz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428 | |
Nicole Zeiner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6647 | |
Viktoriya G Wolfe, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 | |
Alisa Chanchenchop, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 |