Individual
REBECCA H FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD457855
PA
2086X0206X
Surgical Oncology Physician
MD457855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103220000
—
PA
Enumeration date
07/14/2010
Last updated
12/05/2019
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