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General NPI Number Information
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NPI Number | 1992816375
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Entity Type | Individual
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Provider Name | MATTHEW J FISCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 MARTIN CT
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City | EASTON
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State | MD
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Zip | 21601-3833
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Country | US
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Telephone | 410-820-0621
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Fax | 410-820-0643
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Provider Business Mailing Address
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Address Line | 241 SHIPPING CREEK DR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-3045
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Country | US
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Telephone | 410-343-0345
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0052251
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License Number State | MD
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