Individual
MICHAEL B FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-7303
(860) 282-3894
(860) 282-8582
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-4477
(860) 679-4474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027363
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992701932
—
CT
Enumeration date
06/23/2005
Last updated
09/30/2022
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