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Individual
SCOTT W. FISHER
Active
Individual
SCOTT W. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
254926
MA
208000000X
Pediatrics Physician
Primary
G41278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G412780
—
CA
Enumeration date
10/25/2006
Last updated
06/25/2013
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