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General NPI Number Information
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NPI Number | 1730165002
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Entity Type | Individual
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Provider Name | ALAN BERNARD FLEISCHER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 3130 HIGHLAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-584-3686
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Fax | 513-475-7636
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Provider Business Mailing Address
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Address Line | PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-5505
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Fax | 513-585-5511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 48432
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.133947
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 33040
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License Number State | NC
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