Individual
DR. STACY D. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 STONER AVE, BILLINGSLEA BLDG. SUITE 103, WESTMINSTER, MD 21157-5698
(410) 876-0086
(410) 871-0030
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
D57009
MD
207RC0000X
Cardiovascular Disease Physician
D0057009
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609559-01
BLUE CROSS/BLUE SHIELD
MD
05
—
760005400
—
MD
01
—
S062-0415
BC/BS REGIONAL
MD
Enumeration date
05/31/2005
Last updated
04/11/2023
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