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General NPI Number Information
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NPI Number | 1952601080
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Entity Type | Organization
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Legal Business Name | DAVID J FISCHER M D P C
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 4707 CONNECTICUT AVE NW APT 101
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City | WASHINGTON
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State | DC
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Zip | 20008-5619
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Country | US
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Telephone | 202-686-0114
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Fax |
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Provider Business Mailing Address
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Address Line | 4707 CONNECTICUT AVE NW APT 101
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City | WASHINGTON
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State | DC
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Zip | 20008-5619
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Country | US
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Telephone | 202-686-0114
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. LORRAINE FISCHER
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Credential |
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Telephone | 301-299-2832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 4517
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License Number State | DC
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