Individual
DOUGLAS BRIAN FLIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVENUE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 728-2899
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-6900
(215) 728-2899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD424507
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD424507
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101944630001
—
PA
Enumeration date
07/16/2006
Last updated
04/17/2018
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