Individual
KATHERINE MARIE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3765
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MT209798
PA
2088P0231X
Pediatric Urology Physician
Primary
MD474259
PA
2088P0231X
Pediatric Urology Physician
MT209798
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT209798
PA STATE MEDICAL LICENSE
PA
Enumeration date
04/19/2014
Last updated
02/10/2023
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