Individual
ELLIOT K FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6500
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D20945
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317611800
—
MD
Enumeration date
06/14/2006
Last updated
02/06/2013
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