MEDICARE: DR. LEONARD STEPHEN 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	207RG0100X	Gastroenterology Physician	MD469668	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487614863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD STEPHEN FISCHER M.D.

Provider Business Mailing Address
First Line	:	500 UNIVERSITY DRIVE
Second Line	:	CA410
City	:	HERSHEY
State	:	PA
Zip	:	17033-2360
Country	:	US
Telephone Number	:	800-243-1455
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 JOSEPH SIEWICK DR
Second Line	:	SUITE 307
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-281-1023
Fax Number	:	703-620-2331

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/27/2021

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