Healthcare Provider Details

I. General information

NPI: 1598732752
Provider Name (Legal Business Name): DAVID E FISHER MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BINNEY STREET DANA 630 DFCI
BOSTON MA
02115-6084
US

IV. Provider business mailing address

44 BINNEY STREET DANA 630 DFCI
BOSTON MA
02115-6084
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-4916
  • Fax: 617-632-2085
Mailing address:
  • Phone: 617-632-4916
  • Fax: 617-632-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number57683
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number57683
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: