Individual
DR. JUDITH SARA FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
151 EVERETT AVE, CHELSEA HEALTHCARE CENTER, CHELSEA, MA 02150-2309
(617) 887-4600
(617) 887-4646
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 887-4600
(617) 887-4646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46008
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
46008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046008
TUFTS HEALTH PLAN
MA
05
—
6164501
—
MA
01
—
J02137
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
02/14/2014
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