Individual
DR. GERALD LEWIS FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2690 WILLIAM PENN AVE, SUITE 3, JOHNSTOWN, PA 15909-1029
(814) 322-3239
(814) 322-3459
Mailing address
2690 WILLIAM PENN AVE, SUITE 3, JOHNSTOWN, PA 15909-1029
(814) 322-3239
(814) 322-3459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023657L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009239800002
—
PA
Enumeration date
05/14/2007
Last updated
07/09/2007
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