Individual
DAVID J FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
2450 W HUNTING PARK AVE, MEDICAL STAFF OFFICE/ENROLLMETN, PHILADELPHIA, PA 19129-1302
(215) 707-3911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD023154E
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD023154E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905300
—
PA
Enumeration date
03/08/2006
Last updated
04/20/2018
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