Individual
DR. MARTHA P FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-1900
(617) 730-0084
Mailing address
43 KENWOOD AVE, NEWTON, MA 02459-1421
(617) 244-2556
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
74406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3161680
—
MA
Enumeration date
10/14/2006
Last updated
07/08/2007
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