Provider Demographics
NPI:1598732752
Name:FISHER, DAVID E (MD PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:44 BINNEY STREET
Mailing Address - Street 2:DANA 630 DFCI
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6084
Mailing Address - Country:US
Mailing Address - Phone:617-632-4916
Mailing Address - Fax:617-632-2085
Practice Address - Street 1:44 BINNEY STREET
Practice Address - Street 2:DANA 630 DFCI
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6084
Practice Address - Country:US
Practice Address - Phone:617-632-4916
Practice Address - Fax:617-632-2085
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA57683207RX0202X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Not Answered2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
J06643OtherMASSACHUSETTS BCBS
65535OtherFALLON COMMUNITY HEALTH P
057683OtherTUFTS
0407274OtherUNITED HEALTH CARE
000000029358OtherBMC HEALTHNET
B77089DFOtherHPHC
3128523OtherAETNA US HEALTHCARE
MA3022609OtherMASSHEALTH
6613433OtherCIGNA
6613433OtherCIGNA
B77089Medicare UPIN