MEDICARE: DR. DAVID FISCHER M.D.

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
1	207R00000X	Internal Medicine Physician	267442	MA
2	2084A2900X	Neurocritical Care Physician	MD477095	PA

General Provider Information

NPI Number	:	1285083840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID FISCHER M.D.

Provider Business Mailing Address
First Line	:	75 FRANCIS ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-6110
Country	:	US
Telephone Number	:	617-732-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 SPRUCE STREET
Second Line	:	3 DULLES
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104
Country	:	US
Telephone Number	:	856-906-4434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2016
Last Update Date	:	08/27/2022

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