Individual
JONATHAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE DEACONESS RD, BIDMC- DEPARTMENT OF EMERGENCY MEDICINE, WCC2, BOSTON, MA 02215
(617) 754-2323
Mailing address
ONE DEACONESS RD, BIDMC- DEPARTMENT OF EMERGENCY MEDICINE, BOSTON, MA 02215
(617) 754-2323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
160655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50149
ARIZONA MEDICAL BOARD
AZ
Enumeration date
06/06/2006
Last updated
04/17/2017
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