Provider Demographics
NPI:1629405998
Name:FLEISCHER SPINE, PLLC
Entity Type:Organization
Organization Name:FLEISCHER SPINE, PLLC
Other - Org Name:NEW ENGLAND NECK & SPINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:FLEISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-521-7413
Mailing Address - Street 1:19 TYLER ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2951
Mailing Address - Country:US
Mailing Address - Phone:603-521-7413
Mailing Address - Fax:603-402-9348
Practice Address - Street 1:19 TYLER ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2951
Practice Address - Country:US
Practice Address - Phone:603-521-7413
Practice Address - Fax:603-402-9348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty