Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD457855 | PA |
Y | 208600000X | Surgeon | MD457855 | PA |
N | 2086X0206X | Surgical Oncologist | MD457855 | PA |
NPI | 1437462819 |
---|---|
Provider Name | Rebecca H Fishman |
First Address | Philadelphia, PA 19104-4238 |
Second Address | Philadelphia, PA 19104-4238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2010 |
Last Update Date | 05/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103220000 | (05) | PA |