Individual
DR. DAVID MARK FISHBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8028 RITCHIE HWY STE 108, PASADENA, MD 21122-1020
(410) 766-4411
Mailing address
6915 DIANA RD, BALTIMORE, MD 21209-1562
(410) 486-1023
(410) 486-2031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0025330
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36564
—
MD
Enumeration date
07/17/2006
Last updated
07/08/2007
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