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NPI Code Detail

MEDICARE: BERNARD FISHMAN D.D.S.

MEDICARE: BERNARD FISHMAN D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry17459CA

General Provider Information

NPI Number : 1225160732
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD FISHMAN D.D.S.
Provider Business Mailing Address
First Line : 4403 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2820
Country : US
Telephone Number : 562-425-6611
Fax Number : 562-498-6610
Provider Business Practice Location Address
First Line : 4403 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2820
Country : US
Telephone Number : 562-425-6611
Fax Number : 562-498-6610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2007
Last Update Date : 01/02/2011

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Directions to “ BERNARD FISHMAN D.D.S.” Practice Location

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