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NPI Code Detail

MEDICARE: DR. FRANK FISH MD

MEDICARE:  DR. FRANK  FISH  MD
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
1207RC0000XCardiovascular Disease Physician25MA02749700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2BNS056OTHEROXFORD
3F01232OTHERHEALTHNET
40004090785OTHERAETNA

General Provider Information

NPI Number : 1265409817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK FISH MD
Provider Business Mailing Address
First Line : 200 TRENTON RD.
Second Line :
City : BROWNS MILLS
State : NJ
Zip : 08015-1705
Country : US
Telephone Number : 609-893-6611
Fax Number : 609-735-1856
Provider Business Practice Location Address
First Line : 200 TRENTON RD.
Second Line :
City : BROWNS MILLS
State : NJ
Zip : 08015-1705
Country : US
Telephone Number : 609-893-6611
Fax Number : 609-735-1856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 01/23/2012

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Directions to “ DR. FRANK FISH MD” Practice Location

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