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Individual

ZACHARIAH FISHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(732) 790-0107

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ14933500
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP018246
PA

Other

Enumeration date
12/01/2017
Last updated
07/06/2024
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