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General NPI Number Information
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NPI Number | 1063610608
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Entity Type | Organization
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Legal Business Name | HARVEY A. FISHMAN, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 706 WEBSTER ST
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City | PALO ALTO
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State | CA
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Zip | 94301-2628
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Country | US
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Telephone | 650-322-4393
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Fax | 650-322-1921
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Provider Business Mailing Address
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Address Line | 706 WEBSTER ST
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City | PALO ALTO
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State | CA
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Zip | 94301-2628
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Country | US
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Telephone | 650-322-4393
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Fax | 650-322-1921
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARVEY ABRAHAM FISHMAN
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Credential | M.D., PH.D.
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Telephone | 650-322-4393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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