Healthcare Provider Details

I. General information

NPI: 1710971254
Provider Name (Legal Business Name): ALBERT STEVEN FLEISHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 FRANKLIN SQUARE DRIVE SUITE 303
BALTIMORE MD
21237-3998
US

IV. Provider business mailing address

9103 FRANKLIN SQUARE DRIVE SUITE 303
BALTIMORE MD
21237-3998
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-2475
  • Fax: 443-777-6362
Mailing address:
  • Phone: 443-777-2475
  • Fax: 443-777-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0048234
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: