Individual
DR. BARRY JASON FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3428 W MARKET ST, STE 100, FAIRLAWN, OH 44333-3339
(330) 665-8064
(330) 665-8069
Mailing address
3428 W MARKET ST, STE 100, FAIRLAWN, OH 44333-3339
(330) 665-8064
(330) 665-8069
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
35071927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10791435
CAQH
OH
05
—
2140730
—
OH
Enumeration date
06/14/2005
Last updated
11/09/2007
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