Individual
DR. NATHAN ROBERTO FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3088
(860) 242-6261
(860) 243-5184
Mailing address
580 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3088
(860) 242-6261
(860) 243-5184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015870
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010015870CT05
ANTHEM
CT
05
—
1158708
—
CT
01
—
746105
CONNECTICARE
CT
01
—
HAP093
OXFORD
CT
01
—
OPO951
ASC HEALTHNET
CT
Enumeration date
09/29/2006
Last updated
07/08/2007
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