Individual
DR. BRUCE DONALD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.M.D.
Contact information
Practice address
17605 NASSAU COMMONS BLVD STE C, LEWES, DE 19958-6284
(302) 644-2977
(302) 645-7561
Mailing address
17605 NASSAU COMMONS BLVD STE C, LEWES, DE 19958-6284
(302) 644-2977
(302) 645-7561
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
GI-0001121
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000014391
—
DE
Enumeration date
01/31/2007
Last updated
01/13/2022
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