Individual
DR. SCOT A. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
(215) 612-4350
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OS-005062-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001099044
—
PA
05
—
2393701
—
NJ
Enumeration date
07/24/2006
Last updated
08/07/2019
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