Provider Demographics
NPI:1265452700
Name:FISH, MARGARET PAMELA (MB CHB)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:PAMELA
Last Name:FISH
Suffix:
Gender:F
Credentials:MB CHB
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:ANESTHESIOLOGY SERVICE (112A)
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-852-3423
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:ANESTHESIOLOGY SERVICE (112A)
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-852-3423
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA34170207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology