Healthcare Provider Details

I. General information

NPI: 1972595593
Provider Name (Legal Business Name): MICHAEL HOWARD FLEISHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 CRANBURY RD STE 4
EAST BRUNSWICK NJ
08816-5419
US

IV. Provider business mailing address

557 CRANBURY RD STE 4
EAST BRUNSWICK NJ
08816-5419
US

V. Phone/Fax

Practice location:
  • Phone: 732-613-9144
  • Fax: 732-613-5121
Mailing address:
  • Phone: 732-613-9144
  • Fax: 732-613-5121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number25MA04624000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number25MA0462400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: