Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D59527 | MD |
Y | 2080P0207X | Pediatric Hematology-Oncologist | D59527 | MD |
NPI | 1205885605 |
---|---|
Provider Name | Dr. Jason M Fixler |
First Address | Baltimore, MD 21215-5216 |
Second Address | Baltimore, MD 21215-5216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 18/10/2007 |