Provider Demographics
NPI:1386670206
Name:FLEISCHER, JOSEPH S (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:FLEISCHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:466 OLD HOOK RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1396
Mailing Address - Country:US
Mailing Address - Phone:201-967-8221
Mailing Address - Fax:201-967-0340
Practice Address - Street 1:466 OLD HOOK RD
Practice Address - Street 2:SUITE #1
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1396
Practice Address - Country:US
Practice Address - Phone:021-967-8221
Practice Address - Fax:201-634-9647
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-07-02
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Provider Licenses
StateLicense IDTaxonomies
NJMA72147207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH25596Medicare UPIN