Provider Demographics
NPI:1568562361
Name:FISHBEIN, DAWN A (MD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:A
Last Name:FISHBEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST NW STE 2A56
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-7164
Mailing Address - Fax:202-877-0341
Practice Address - Street 1:110 IRVING ST NW STE 2A56
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7164
Practice Address - Fax:202-877-0341
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215064207RI0200X
DCMD037952207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2X3531Medicare ID - Type UnspecifiedMEDICARE #
NYI12042Medicare UPIN