Individual
JUDITH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
519 US ROUTE 1, UNIT 2, YORK, ME 03909-1640
(207) 351-1266
(207) 363-4905
Mailing address
401 ANDOVER ST, SUITE 101, NORTH ANDOVER, MA 01845-5076
(978) 691-5690
(978) 691-5693
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
015408
ME
207N00000X
Dermatology Physician
10992
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y002813NH01
ANTHEM NEW HAMPSHIRE
NH
01
—
039354
ANTHEM MAINE
ME
01
—
2432636
AETNA
—
01
—
400918
HARVARD
—
Enumeration date
09/20/2006
Last updated
05/16/2013
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