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Individual

DOUGLAS S FISHMAN

Active
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Individual

DOUGLAS S FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
220952
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
220952
MA
2080P0206X
Pediatric Gastroenterology Physician
M5159
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0033602
NEIGHBORHOOD HEALTH
MA
05
2091895
MA
01
469569
TUFTS
MA
01
6821914
CIGNA
MA
01
AA16675
HARVARD PILGRIM
MA
01
J27952
BLUE CROSS
MA
Enumeration date
04/19/2006
Last updated
03/08/2023
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