person
Douglas Fisher, PAC
Medical Physician Assistant in Southampton, New York
NPI 1245235761

Douglas Fisher is a Medical Physician Assistant based in East Marion, NY and is specialized in Medical. Douglas Fisher practices in Southampton, NY and has the professional credentials of PAC. The NPI Number for Douglas Fisher is 1245235761 and holds a License No. PA00256 (New York).

The current practice location address for Douglas Fisher is 117 Hampton Rd, Southampton, NY and can be reached out via phone at 631-287-8600 and via fax at 631-204-1585.

Location: 117 Hampton Rd, Southampton, NY, 11939
person
Provider Profile Details
NPI Number
1245235761
Provider Name
Douglas Fisher
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
117 Hampton Rd, Southampton, NY, 11939
Phone Number
631-287-8600
Fax Number
631-204-1585
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30584 01 RI BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
117 Hampton Rd
City
State
Zip
11968-4923
Phone Number
631-287-8600
Fax Number
631-204-1585
person
Provider Business Mailing Address Details
Address
117 Hampton Rd
City
State
Zip
11968-4923
Phone Number
631-287-8600
Fax Number
631-204-1585
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00256 (Rhode Island)
Definition
Definition to come...
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