Provider Demographics
NPI:1891878914
Name:FISHER, DENEISHIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:DENEISHIA
Middle Name:S
Last Name:FISHER
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 1:620 CRANBURY RD
Mailing Address - Street 2:SUITE LL 90
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4098
Mailing Address - Country:US
Mailing Address - Phone:732-967-0033
Mailing Address - Fax:732-967-0055
Practice Address - Street 1:812 COURTYARD DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4258
Practice Address - Country:US
Practice Address - Phone:908-725-2510
Practice Address - Fax:908-725-2132
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07492100174400000X
VA0101261074207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist