Individual
KEITH FISHBEIN
Active
Individual
KEITH FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04065700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031965000
AMERIHEALTH #
NJ
05
—
0176206
—
NJ
01
—
1130611
HORIZON NJ HEALTH #
NJ
01
—
222908710
TAX IDENTIFICATION #
NJ
01
—
34706
AETNA HMO #
NJ
01
—
4096206
AETNA PPO #
NJ
01
—
F06621
HEALTHNET ID #
NJ
01
—
MES208
OXFORD PROVIDER #
NJ
Enumeration date
06/17/2005
Last updated
05/18/2009
Update your record
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