Individual
MARY A. FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6330
(617) 629-6128
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6330
(617) 629-6128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN127336
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN127336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110018718A
—
MA
01
—
F556
HARVARD PILGRIM
MA
01
—
NP1203
BLUE CROSS
MA
Enumeration date
02/14/2007
Last updated
03/08/2021
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