Individual
DR. MARCIA E FISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1419 BEACON ST, BROOKLINE, MA 02446-4808
(617) 734-4827
Mailing address
1419 BEACON ST, BROOKLINE, MA 02446-4808
(617) 734-4827
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730819
TUFTS HEALTH PLAN
MA
01
—
C04850
BLUE SHIELD
MA
Enumeration date
01/03/2007
Last updated
07/08/2007
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