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Provider Information for 1639289713

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

MICHAEL ANDREW FISCHER MD

Gender: MALE

Individual NPI: 1639289713

Calendar   Last Updated:  2021-01-08
  Certification Date:  2021-01-08

Details

Name Value
NPI 1639289713
Enumeration Date 2006-08-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 33 BARTLETT ST STE 305
LOWELL, MA 01852-1318
United States

Phone: 978-452-2200 | Fax:
View Map External Link
Primary Practice Address 33 BARTLETT ST STE 305
LOWELL, MA 01852-1318
United States

Phone: 978-452-2200 | 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 VT 1018946
MEDICAID NH 32000361
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics NH 15376