Provider Demographics
NPI:1770540072
Name:FISHER, NAOMI DEIRDRE (MD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:DEIRDRE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:221 LONGWOOD AVENUE RFB-2
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL ENDOCRINOLOGY DIABETES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-5661
Mailing Address - Fax:
Practice Address - Street 1:221 LONGWOOD AVENUE RFB-2
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL ENDOCRINOLOGY DIABETES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75330207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism