Individual
BEVERLY ANNE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12205 TULLAMORE RD, TIMONIUM, MD 21093-7816
(410) 308-4700
(410) 308-4704
Mailing address
12205 TULLAMORE RD # 12205, TIMONIUM, MD 21093-7816
(410) 308-4700
(410) 308-4704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0037263
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0037263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298161100
—
MD
01
—
DE665 240006092
RAILROAD MEDICARE
GA
01
—
E422 0001
CAREFIRST
DC
01
—
KG04AD 53289903
CAREFIRST
MD
Enumeration date
07/03/2006
Last updated
08/11/2016
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