Provider Demographics
NPI:1073518056
Name:FISHER, J RUSH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:RUSH
Last Name:FISHER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4735 OGLETOWN STANTON RD
Mailing Address - Street 2:STE 3302
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-8000
Mailing Address - Country:US
Mailing Address - Phone:302-623-4144
Mailing Address - Fax:302-623-4289
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:STE 3302
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-8000
Practice Address - Country:US
Practice Address - Phone:302-623-4144
Practice Address - Fax:302-623-4289
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2015-02-24
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Provider Licenses
StateLicense IDTaxonomies
DEC10005347207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0512017000OtherAMERIHEALTH/KEYSTONE
DE200040677OtherRAILROAD MEDICARE
DE2291465OtherAETNA HMO
DE5579793001OtherCIGNA
DE2613OtherMID-ATLANTIC
DEG37821OtherCOVENTRY
DE1000034633Medicaid
DE373895OtherINDEPENDENCE BC/PC
DE510399378OtherBCBS
DE5665641OtherAETNA PPO
DEG37821OtherCOVENTRY
DEG37821OtherCOVENTRY