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Individual

MARC FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
119 BELMONT ST, DEPARTMENT OF NEUROLOGY, WORCESTER, MA 01605-2903
(508) 334-6641
(508) 334-6695
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42832
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2061325
MA
Enumeration date
12/06/2005
Last updated
07/13/2011
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