Provider Demographics
NPI:1295798569
Name:FISHER, ROBERT T (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:52 THOMAS JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4300
Mailing Address - Country:US
Mailing Address - Phone:301-663-9573
Mailing Address - Fax:301-663-6446
Practice Address - Street 1:52 THOMAS JOHNSON DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4300
Practice Address - Country:US
Practice Address - Phone:301-663-9573
Practice Address - Fax:301-663-6446
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD23002207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD107596OtherCIGNA
DC1741OtherBLUE CHOICE
MD28315OtherMAMSI
MD311570-01OtherCAREFIRST MARYLAND
MD925442OtherAETNA USHEALTHCARE
MD763901500Medicaid
MD28315OtherMAMSI
MD107596OtherCIGNA