MEDICARE: DR. JOHN FISCHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	25MA05873500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245276310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN FISCHER M.D.

Provider Business Mailing Address
First Line	:	3322 ROUTE 22
Second Line	:	BUILDING 10, SUITE 1002
City	:	BRANCHBURG
State	:	NJ
Zip	:	08876-3476
Country	:	US
Telephone Number	:	908-725-5530
Fax Number	:	908-253-6559

Provider Business Practice Location Address
First Line	:	1390 ROUTE 22 W
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833
Country	:	US
Telephone Number	:	908-725-5530
Fax Number	:	908-253-6559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	03/07/2008

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