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Organization

GARY P FISHER MD LLC

Active
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Organization

GARY P FISHER MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY P FISHER MD (PRESIDENT)
(301) 654-1059
Entity
Organization

Contact information

Practice address
5530 WISCONSIN AVE, SUITE #711, CHEVY CHASE, MD 20815-4404
(301) 654-1059
Mailing address
5530 WISCONSIN AVE, SUITE #711, CHEVY CHASE, MD 20815-4404
(301) 654-1059

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144296757
1144296757
MD
Enumeration date
11/22/2011
Last updated
11/22/2011
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