Individual
DAVID J FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
759 CHESTNUT STREET, STE C3358, SPRINGFIELD, MA 01107-1619
(413) 794-2398
(413) 794-1273
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245903
MA
208000000X
Pediatrics Physician
Primary
245903
MA
208M00000X
Hospitalist Physician
245903
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002257501
MEDICARE
MA
05
—
110088658A
—
MA
Enumeration date
01/16/2007
Last updated
09/26/2023
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