Provider Demographics
NPI:1336301126
Name:FISH, DAVID WILLIAM (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:FISH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1493 CAMBRIDGE ST
Mailing Address - Street 2:CHA
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1047
Mailing Address - Country:US
Mailing Address - Phone:617-665-8700
Mailing Address - Fax:
Practice Address - Street 1:169 LIBBEY PKWY
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3101
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:781-551-3396
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2018-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2364832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry