Fish, David J

Fish, David J is an individual health care provider with primary practice located at 759 Chestnut Street Ste C3358, Springfield MA 01107-1619. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fish, David J can be contacted via phone (413) 794-2398.

Contact Information

Primary practice address
759 Chestnut Street Ste C3358 Springfield MA 01107-1619
Fax: (413) 794-1273
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245903 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 245903 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 245903 Massachusetts

Profile Details

NPI number 1659422798
LBN Legal business name Fish, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659422798 NPPES
Massachusetts Other 002257501 MEDICARE
Massachusetts MEDICAID 110088658A MEDICARE

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