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1841429156

NPI Code Detail

MEDICARE: DR. MICHAEL ALAN FISHMAN MD

MEDICARE: DR. MICHAEL ALAN FISHMAN 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD450715	PA
2	208VP0000X	Pain Medicine Physician	MD450715	PA
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	C1-0011247	DE
4	208VP0000X	Pain Medicine Physician	C1-0011247	DE
5	208VP0014X	Interventional Pain Medicine Physician	MD450715	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841429156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALAN FISHMAN MD

Provider Business Mailing Address
First Line	:	755 NORMAN DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-3704
Country	:	US
Telephone Number	:	917-543-6588
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 NORMAN DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7497
Country	:	US
Telephone Number	:	717-273-6706
Fax Number	:	717-273-9910

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

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	05/24/2026

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1487028411 — MRS. KRISTEN N BERFIELD CRNP
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1194197731 — HEATHER LYNN DIFFENDALL CRNP
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775 NORMAN DR
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17042-7497

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Practice Fax: 717-272-4029

1265967616 — VIVIAN E HENRY CRNP
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775 NORMAN DR
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1538655501 — CHRISTOPHER IGNATZ DO
Practice Location Address:

775 NORMAN DR
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17042-7497

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Directions to “ DR. MICHAEL ALAN FISHMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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