Fishman, Douglas S

Fishman, Douglas S is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Fishman, Douglas S can be contacted via phone (617) 355-7953.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-7953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 220952 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X M5159 Texas
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 220952 Massachusetts

Profile Details

NPI number 1912962168
LBN Legal business name Fishman, Douglas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 8th, 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 1912962168 NPPES
Massachusetts MEDICAID 2091895
Massachusetts Other AA16675
Massachusetts Other 0033602
Massachusetts Other 469569
Massachusetts Other 6821914
Massachusetts Other J27952

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