MEDICARE: DR. BARRY FISHER 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	2084P0800X	Psychiatry Physician	MD039672E	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	:	1922019108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY FISHER MD

Provider Business Mailing Address
First Line	:	US DEPARTMENT OF STATE MED QI SA 1
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20522-0102
Country	:	US
Telephone Number	:	202-663-1519
Fax Number	:

Provider Business Practice Location Address
First Line	:	US DEPT OF STATE MED QI SA 1
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20522-0102
Country	:	US
Telephone Number	:	202-663-1519
Fax Number	:	202-663-1456

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	02/03/2016

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