MEDICARE: CAROL R FLEISCHMAN MD

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	207R00000X	Internal Medicine Physician	MD039420E	PA

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	:	1902846942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL R FLEISCHMAN MD

Provider Business Mailing Address
First Line	:	250 KING OF PRUSSIA RD
Second Line	:
City	:	RADNOR
State	:	PA
Zip	:	19087-5220
Country	:	US
Telephone Number	:	610-902-5600
Fax Number	:	610-902-2304

Provider Business Practice Location Address
First Line	:	250 KING OF PRUSSIA ROAD
Second Line	:
City	:	RADNOR
State	:	PA
Zip	:	19087-5220
Country	:	US
Telephone Number	:	610-902-5600
Fax Number	:	610-902-2304

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	05/25/2021

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