Individual
NEIL OWEN FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-6932
(215) 662-7899
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD032530E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010639270001
—
PA
Enumeration date
07/07/2006
Last updated
02/14/2011
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