Individual
BENJAMIN RONALD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
197 DIXWELL AVE, NEW HAVEN, CT 06511-3470
(203) 503-3587
Mailing address
197 DIXWELL AVE, NEW HAVEN, CT 06511-3470
(203) 503-3587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8964
CT
Other
Enumeration date
04/03/2024
Last updated
11/25/2025
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