Healthcare Provider Details

I. General information

NPI: 1396810891
Provider Name (Legal Business Name): ROBIN A FISCHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BCBS OF MA ONE ENTERPRISE DRIVE
QUINCY MA
02171
US

IV. Provider business mailing address

BCBS OF MA ONE ENTERPRISE DRIVE
QUINCY MA
02171
US

V. Phone/Fax

Practice location:
  • Phone: 617-246-6140
  • Fax:
Mailing address:
  • Phone: 617-246-6140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number56975
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number56975
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: