Organization
BARRY J. FISH, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY J FISH MD (PRESIDENT)
(330) 665-8064
Entity
Organization
Contact information
Practice address
3428 W MARKET ST, SUITE 100, FAIRLAWN, OH 44333-3339
(330) 665-8064
(330) 665-8069
Mailing address
3428 W MARKET ST, SUITE 100, FAIRLAWN, OH 44333-3339
(330) 665-8064
(330) 665-8069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35071927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TH9312912
MEDICARE 2ND LOCATION
OH
Enumeration date
03/13/2007
Last updated
02/06/2008
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