Individual
EDWIN FIERER
Active
Individual
EDWIN FIERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018957
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001189570
—
CT
01
—
010018957CT01
ANTHEM BLUE SHIELD
CT
01
—
0V4803
HEALTHNET
—
01
—
110183892
RAILROAD MEDICARE
CT
Enumeration date
07/26/2006
Last updated
06/22/2021
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