Individual
STACI ANN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY STREET, APC921, PROVIDENCE, RI 02903
(401) 444-8450
(401) 444-5088
Mailing address
593 EDDY STREET, APC921, PROVIDENCE, RI 02903
(401) 444-8450
(401) 444-5088
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
05-0450410
RI
207RI0200X
Infectious Disease Physician
MD10461
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5289098
—
MA
05
—
9022995
—
RI
Enumeration date
05/23/2006
Last updated
11/19/2013
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