Individual
STEVEN J. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2345
(802) 728-2613
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2345
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
011282
ME
207P00000X
Emergency Medicine Physician
Primary
042-0007233
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006637
—
VT
01
—
001015
ANTHEM
ME
01
—
010453642
GREATWEST/ONE HEALTH
ME
01
—
1922181635
TRICARE
ME
05
—
268340099
—
ME
01
—
3009259
MVP HEALTH CARE
VT
01
—
5046643
AETNA
ME
01
—
930011982
RR MEDICARE
ME
01
—
D78610
HARVARD PILGRIM
ME
Enumeration date
10/24/2006
Last updated
04/13/2010
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