Individual
BRUCE D. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 ROUTE 33, DEPARTMENT OF MEDICINE - JERSEY SHORE UNIV MED CTR, NEPTUNE, NJ 07753-0397
(732) 776-4420
(732) 776-3795
Mailing address
1945 ROUTE 33, DEPARTMENT OF MEDICINE - JERSEY SHORE UNIV MED CTR, NEPTUNE, NJ 07754-0397
(732) 776-4420
(732) 776-3795
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA03611300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1641701
—
NJ
Enumeration date
08/05/2006
Last updated
08/29/2011
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