Individual
MICHAEL FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8241
Mailing address
300 LONGWOOD AVE, BCH3066, BOSTON, MA 02115-5724
(617) 355-6624
(617) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
291483
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/16/2019
Last updated
04/25/2025
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