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Organization

MARK A. FISHER, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A FISHER MD (PRESIDENT)
(973) 655-9050
Entity
Organization

Contact information

Practice address
127 PINE ST, SUITE 5, MONTCLAIR, NJ 07042-4855
(973) 655-9050
Mailing address
127 PINE ST, SUITE 5, MONTCLAIR, NJ 07042-4855
(973) 655-9050

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA68626
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8536805
NJ
01
MA68626
STATE LICENSE
NJ
Enumeration date
05/17/2007
Last updated
08/22/2020
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