Provider Demographics
NPI:1770542391
Name:FISHER, DAVID CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:D1830
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-6844
Mailing Address - Fax:617-632-4422
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:D1830
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-6844
Practice Address - Fax:617-632-4422
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80650207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
759412OtherTUFTS
3600190OtherUNITED HEALTHCARE
8834749OtherCIGNA
40304OtherFALLON COMMUNITY HEALTH P
G13811DFOtherHPHC (DFCI ONLY)
MAJ31627OtherBLUE CROSS BLUE SHIELD
0607808OtherAETNA US HEALTHCARE
3146197OtherMASSHEALTH (MA MEDICAID)
A20597Medicare ID - Type Unspecified
759412OtherTUFTS