Individual
KIMBERLY A. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PULMONARY MEDICINE, WORCESTER, MA 01655-0002
(508) 856-1975
(508) 856-3999
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
226310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073712A
—
MA
Enumeration date
07/17/2006
Last updated
11/16/2020
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