Individual
SHIRLEY FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7790
(732) 923-7722
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA07978600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150975
—
NJ
01
—
223316007-093
QUALCARE
NJ
01
—
223316007P
HORIZON BC BS
NJ
01
—
2776539000
AMERIHEALTH
NJ
01
—
3K7753
HEALTHNET
NJ
01
—
60037643
HORIZON NJ HEALTH
NJ
01
—
7138088
AETNA
NJ
01
—
9107622
CIGNA
NJ
Enumeration date
02/23/2006
Last updated
02/13/2013
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