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General NPI Number Information
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NPI Number | 1184979502
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Entity Type | Organization
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Legal Business Name | JOHN F. FISHER, MD PA
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 16 E MAIN ST
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City | SUSSEX
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State | NJ
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Zip | 07461-2110
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Country | US
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Telephone | 973-875-3646
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Fax | 973-875-2021
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Provider Business Mailing Address
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Address Line | 16 E MAIN ST
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City | SUSSEX
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State | NJ
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Zip | 07461-2110
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Country | US
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Telephone | 973-875-3646
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Fax | 973-875-2021
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN F FISHER
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Credential | M.D.
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Telephone | 973-875-3646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA04056400
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License Number State | NJ
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