Individual ProviderColleen FitzgeraldFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address755 Memorial Pkwy, Ste 300, Phillipsburg, NJ 08865-2748(908) 454-6303PECOS EnrollmentBased on the most recent information from CMS, provider Colleen Fitzgerald is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1861810251Provider TypeIndividualFull NameFitzgerald, ColleenCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/2/2014Last Updated11/22/2019Contact InformationPractice LocationPractice Address755 Memorial Pkwy, Ste 300, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Mailing LocationMailing Address755 Memorial Pkwy, Ste 300, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME142771Florida