Organization
MARK FISHER MD FACR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FISHER MD (PRESIDENT)
(856) 547-8004
Entity
Organization
Contact information
Practice address
713 STATION AVE, HADDON HEIGHTS, NJ 08035-1648
(856) 547-8004
(856) 547-8377
Mailing address
713 STATION AVE, HADDON HEIGHTS, NJ 08035-1648
(856) 547-8004
(856) 547-8377
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MA29067
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469509
—
NJ
Enumeration date
09/10/2007
Last updated
09/10/2007
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