Individual
JOHN M FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC-WP2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
111 COLCHESTER AVE, FAHC-WP2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0007989
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009427
—
VT
05
—
01134629
—
NY
Enumeration date
06/06/2006
Last updated
07/08/2007
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