Healthcare Provider Details

I. General information

NPI: 1366563512
Provider Name (Legal Business Name): CYRIL FISHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROYAL MARSDEN HOSPITAL 203 FULHAM ROAD
LONDON GB
SW36JJ
GB

IV. Provider business mailing address

28 GODFREY STREET
LONDON GB
SW3 3SX
GB

V. Phone/Fax

Practice location:
  • Phone: 207-808-2630
  • Fax:
Mailing address:
  • Phone: 207-808-2630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number43245
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: