Organization
DAVID J. FISHMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. FISHMAN M.D. (PRESIDENT)
(216) 289-8149
Entity
Organization
Contact information
Practice address
26250 EUCLID AVE, SUITE 711, EUCLID, OH 44132-3305
(216) 289-8149
(216) 289-3305
Mailing address
26250 EUCLID AVE, SUITE 711, EUCLID, OH 44132-3305
(216) 289-8149
(216) 289-3305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
039578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136594
ANTHEM
OH
05
—
0215903
—
OH
Enumeration date
10/17/2005
Last updated
08/22/2020
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