Provider Demographics
NPI:1790832616
Name:FISCHER, STUART JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:JAMES
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OVERLOOK RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3570
Mailing Address - Country:US
Mailing Address - Phone:908-277-1122
Mailing Address - Fax:908-277-0140
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE 301
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-277-1122
Practice Address - Fax:908-277-0140
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA37473207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
49682OtherAETNA
US174OtherOXFORD
0085158000OtherAMERIHEALTH
29A471OtherEMPIRE CHOICE
0K6838OtherPHS HEALTHNET
469094OtherCIGNA
49682OtherAETNA US HEALTHCARE
29A47OtherEMPIRE BLUE
S39456OtherAMER
0090854OtherGHI
49682OtherAETNA
29A471OtherEMPIRE CHOICE