Provider Demographics
NPI:1407963036
Name:FISHMAN, ARI D (MD)
Entity Type:Individual
Prefix:DR
First Name:ARI
Middle Name:D
Last Name:FISHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3509
Mailing Address - Country:US
Mailing Address - Phone:301-982-9800
Mailing Address - Fax:301-982-2420
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 205
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3509
Practice Address - Country:US
Practice Address - Phone:301-982-9800
Practice Address - Fax:301-982-2420
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2014-07-25
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Provider Licenses
StateLicense IDTaxonomies
MDD0057475207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD348232YEH2Medicare PIN
DCH45492Medicare UPIN