Individual
DR. MARC JUDAH FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
D0038913
MD
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD19227
DC
2084P0800X
Psychiatry Physician
Primary
D0038913
MD
2084P0800X
Psychiatry Physician
MD19227
DC
2084P0802X
Addiction Psychiatry Physician
D0038913
MD
2084P0802X
Addiction Psychiatry Physician
MD19227
DC
2084P0804X
Child & Adolescent Psychiatry Physician
D0038913
MD
2084P0804X
Child & Adolescent Psychiatry Physician
MD19227
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BF2501725 XF2501725
CONTROLLED SUBSTANCE REG
—
Enumeration date
01/31/2007
Last updated
09/11/2025
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