Individual
DR. MARC D FISICARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08571900
NJ
207L00000X
Anesthesiology Physician
MD437252
PA
207L00000X
Anesthesiology Physician
MT186697
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239372
—
NJ
05
—
102496613
—
PA
Enumeration date
05/17/2007
Last updated
05/30/2019
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