Individual
DR. STEVEN C FISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 PLEASANT VALLEY WAY, #306, NJ GASTRO, WEST ORANGE, NJ 07052
(973) 325-5775
(973) 325-5770
Mailing address
1500 PLEASANT VALLEY WAY #306, NORTH JERSEY GASTRO, WEST ORANGE, NJ 07052
(973) 325-5775
(973) 325-5770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA34473
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041150
AETNA HMO
NJ
01
—
0068449700
AMERIHEALTH GROUP
NJ
01
—
0077496000
AMERIHEALTH INDIVIDUAL
NJ
01
—
1072840
HORIZON NJ HEALTH
NJ
05
—
2000407
—
NJ
01
—
21626
UNIV. HEALTH PLAND(UHP)
NJ
01
—
222261434
TAX ID #
NJ
01
—
31D0105815
CLIA#
NJ
01
—
4093402
AETNA ALL OTHER PLANS
NJ
01
—
654866
UNITED HEALTHCARE
NJ
01
—
BS008
OXFORD ID#
NJ
01
—
DO25009
CDS
NJ
01
—
HUL00021200
AMERICHOICE
NJ
01
—
OK5988
HEALTHNET
NJ
Enumeration date
06/05/2006
Last updated
03/07/2023
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