Organization
RICHARD D. FISCHER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D FISCHER MD (PRESIDENT)
(860) 872-0546
Entity
Organization
Contact information
Practice address
428 HARTFORD TPKE, VERNON, CT 06066-4841
(860) 872-0355
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(603) 890-4404
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BLUE SHIELD
CT
05
—
PENDING
—
CT
Enumeration date
01/15/2010
Last updated
01/15/2010
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