Healthcare Provider Details

I. General information

NPI: 1003809799
Provider Name (Legal Business Name): GAIL ANN FISHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 LIBERTY AVE SUITE 222
PITTSBURGH PA
15224-2156
US

IV. Provider business mailing address

4815 LIBERTY AVE SUITE 222
PITTSBURGH PA
15224-2156
US

V. Phone/Fax

Practice location:
  • Phone: 412-638-4473
  • Fax: 412-605-6381
Mailing address:
  • Phone: 412-578-4318
  • Fax: 412-605-6381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD019881
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: