Marc Judah Fishman in Baltimore - Addiction Medicine

Marc Judah Fishman - NPI 1649317264

Marc Judah Fishman is a Addiction Medicine in Baltimore, Maryland. Marc Judah Fishman practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Marc Judah Fishman is 1649317264. The last update date is 2007-07-09.

Marc Judah Fishman's current location address is 3800 Frederick Avenue, Baltimore, Maryland. You can contact this provider via phone number 4102331400 and fax number 4102335583. The mailing address for Marc Judah Fishman is 3800 Frederick Avenue, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Marc Judah Fishman
Address 3800 Frederick Avenue, Baltimore, Maryland
Phone Number 4102331400
Fax Number 4102335583
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649317264
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3800 Frederick Avenue
City Baltimore
State Maryland (MD)
Post Code 21229
Phone Number 4102331400
Fax Number 4102335583

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No D0038913
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BF2501725 XF250 CONTROLLED SUBSTANCE REG

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FAQs about Marc Judah Fishman

What is the unique 10-digit identifier code issued to Marc Judah Fishman by the Centers for Medicare & Medicaid Services?

The Marc Judah Fishman has been assigned the NPI (National Provider Identifier) 1649317264 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Marc Judah Fishman?

The Marc Judah Fishman is situated at 3800 Frederick Avenue, in the city of Baltimore, state of MD, with the zip code 21229.

What is Marc Judah Fishman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marc Judah Fishman is Addiction Medicine, and the taxonomy code that classifies this field of practice is 2084A0401X.

When did the Marc Judah Fishman receive its 1649317264?

The Marc Judah Fishman was issued its 1649317264 on 2007-01-31, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Marc Judah Fishman most recently updated or revised?

The details related to Marc Judah Fishman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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