| Fish Psychiatric Practice Llc | |
|
22 Judges Hill Dr Norwell MA 02061-1041 | |
| (857) 330-2716 | |
| (904) 637-1524 |
| Full Name | Fish Psychiatric Practice Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22 Judges Hill Dr, Norwell, Massachusetts |
| Authorized Official Name and Position | David W. Fish (OWNER) |
| Authorized Official Contact | 8573302716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fish Psychiatric Practice Llc 759 Chief Justice Cushing Hwy Ste 267 Cohasset MA 02025-2115 Ph: (857) 330-2716 | Fish Psychiatric Practice Llc 22 Judges Hill Dr Norwell MA 02061-1041 Ph: (857) 330-2716 |
| NPI Number | 1205582541 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 4284015520 |
|---|---|
| Medicare Enrollment ID | O20220719000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205582541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David W Fish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336301126 PECOS PAC ID: 7810143955 Enrollment ID: I20120806000807 |
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