Individual
JENNIFER E FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2131
(774) 443-7399
Mailing address
PO BOX 415348 UMASS MEMORIAL MEDICAL GROUP, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
282857
MA
2080P0210X
Pediatric Nephrology Physician
Primary
282857
MA
2080P0210X
Pediatric Nephrology Physician
MD19375
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110161115A
—
MA
Enumeration date
04/03/2017
Last updated
08/06/2025
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