Individual
DR. DAVID J. FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 MEDWAY RD, HIGHLAND HTS, OH 44143-3725
(169) 784-5432
(404) 219-8464
Mailing address
410 MEDWAY RD, HIGHLAND HTS, OH 44143-3725
(216) 978-4543
(440) 421-9846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
039578
OH
207R00000X
Internal Medicine Physician
Primary
039578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136594
ANTHEM
OH
05
—
0215903
—
OH
Enumeration date
10/17/2005
Last updated
06/09/2022
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