Individual
DR. STEVEN J FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE FEGAN 3, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115
(617) 355-7800
Mailing address
300 LONGWOOD AVE FEGAN 3, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115
(617) 355-7800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
75701
MA
2086S0120X
Pediatric Surgery Physician
Primary
75701
MA
2086S0129X
Vascular Surgery Physician
75701
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
75701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090647
—
MA
Enumeration date
07/12/2006
Last updated
01/14/2008
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