Individual
DR. RALPH ELLIOTT FISHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,O,
Contact information
Practice address
171 GRAMERCY RD, BALA CYNWYD, PA 19004-2904
(610) 667-3789
(610) 667-3789
Mailing address
171 GRAMERCY RD, BALA CYNWYD, PA 19004-2904
(610) 667-3131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS002372L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS002372L
STATE LICENSE
PA
Enumeration date
02/17/2007
Last updated
06/16/2017
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