John F. Fisher, Md Pa | |
16 E Main St Sussex NJ 07461-2110 | |
(973) 875-3646 | |
(973) 875-2021 |
Full Name | John F. Fisher, Md Pa |
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Speciality | Internal Medicine |
Location | 16 E Main St, Sussex, New Jersey |
Authorized Official Name and Position | John F Fisher (OWNER) |
Authorized Official Contact | 9738753646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John F. Fisher, Md Pa 16 E Main St Sussex NJ 07461-2110 Ph: (973) 875-3646 | John F. Fisher, Md Pa 16 E Main St Sussex NJ 07461-2110 Ph: (973) 875-3646 |
NPI Number | 1184979502 |
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Provider Enumeration Date | 07/23/2012 |
Last Update Date | 07/23/2012 |
Medicare PECOS PAC ID | 9931359320 |
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Medicare Enrollment ID | O20121019000561 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184979502 | NPI | - | NPPES |
1391208 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA04056400 (New Jersey) | Primary |
Provider Name | John F Fisher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073583720 PECOS PAC ID: 7810913886 Enrollment ID: I20051019000252 |
Sussex Community Urgent Care A Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Sussex, NJ 07461 Phone: 973-983-5570 Fax: 973-983-1616 |