Individual
DR. JUSTIN R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 W FULTON ST, EPHRATA, PA 17522-1902
(717) 721-8789
(717) 715-1360
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 721-8789
(717) 715-1360
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD425672
PA
2084N0600X
Clinical Neurophysiology Physician
Primary
MD425672
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026615390003
—
PA
Enumeration date
04/28/2006
Last updated
11/03/2021
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