Individual
MR. GEORGE EDWARD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5751 NORTH BROAD STREET, PHILADELPHIA, PA 19141
(215) 843-0672
(215) 843-0674
Mailing address
5751 NORTH BROAD STREET, PHILADELPHIA, PA 19141
(215) 843-0672
(215) 843-0674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD061558L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30010670
KEYSTONE MERCY
PA
01
—
34699
KEYSTONE MERCY HEALTH PAR
—
01
—
34699 MD061558L
HEALTHPARTNERS
PA
01
—
954658
BCBS (IBC)
PA
01
—
HMO2590672
AETNA US HEALTHCARE
PA
Enumeration date
10/04/2006
Last updated
06/26/2008
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