Individual
IRWIN FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
107 S SPORTING HILL RD, MECHANICSBURG, PA 17050-3058
(717) 943-1781
Mailing address
107 S SPORTING HILL RD, MECHANICSBURG, PA 17050-3058
(717) 943-1781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C50000117
DE
363A00000X
Physician Assistant
Primary
MA002426L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001120143
—
DE
Enumeration date
06/15/2006
Last updated
03/09/2022
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