Individual
DR. THEODORE DAVID FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 233-2600
(860) 236-8781
Mailing address
670 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 233-2600
(860) 236-8781
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CT25703
CT
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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