Healthcare Provider Details

I. General information

NPI: 1922409705
Provider Name (Legal Business Name): HENRY J FISHMAN , M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW STE 400
WASHINGTON DC
20006-1009
US

IV. Provider business mailing address

2021 K ST NW STE 400
WASHINGTON DC
20006-1009
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-3500
  • Fax: 202-833-3503
Mailing address:
  • Phone: 202-833-3500
  • Fax: 202-833-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HENRY JAMES FISHMAN
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 202-833-3500