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NPI Code Detail

MEDICARE: DR. DAVID J. FISHMAN M.D.

MEDICARE: DR. DAVID J. FISHMAN 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
1174400000XSpecialist039578OH
2207R00000XInternal Medicine Physician039578OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000136594OTHEROHANTHEM

General Provider Information

NPI Number : 1790774339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J. FISHMAN M.D.
Provider Business Mailing Address
First Line : 410 MEDWAY RD
Second Line :
City : HIGHLAND HTS
State : OH
Zip : 44143-3725
Country : US
Telephone Number : 216-978-4543
Fax Number : 440-421-9846
Provider Business Practice Location Address
First Line : 410 MEDWAY RD
Second Line :
City : HIGHLAND HTS
State : OH
Zip : 44143-3725
Country : US
Telephone Number : 169-784-5432
Fax Number : 404-219-8464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 06/09/2022

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Directions to “ DR. DAVID J. FISHMAN M.D.” Practice Location

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