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Provider Information for 1235164617

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. STEVEN J FISHMAN MD

Gender: MALE

Individual NPI: 1235164617

Calendar   Last Updated:  2008-01-14
  Certification Date: 

Details

Name Value
NPI 1235164617
Enumeration Date 2006-07-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE FEGAN 3 CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
United States

Phone: 617-355-7800 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FEGAN 3 CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
United States

Phone: 617-355-7800 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MA 3090647
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2086S0120X - Surgery Pediatric Surgery MA 75701
No 2086S0129X - Surgery Vascular Surgery MA 75701
No 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) MA 75701
No 208600000X - Surgery MA 75701