person
Dr. Simon Fishman, MD
Specialist in Alexandria, Virginia
NPI 1578654968

Simon Fishman is a Specialist based in Alexandria, VA. Simon Fishman practices in Alexandria, VA and has the professional credentials of MD. The NPI Number for Simon Fishman is 1578654968 and holds a License No. 0101225797 (Virginia).

The current practice location address for Simon Fishman is 6355 Walker Lane, Alexandria, VA and can be reached out via phone at 703-313-9111 and via fax at 703-313-4945. You can also correspond with Simon Fishman through the mailing address at 6355 WALKER LANE, ALEXANDRIA, VA - 22310 (mailing address contact number: 703-313-9111).

Location: 6355 Walker Lane, Alexandria, VA, 22310
person
Provider Profile Details
NPI Number
1578654968
Provider Name
Simon Fishman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6355 Walker Lane, Alexandria, VA, 22310
Phone Number
703-313-9111
Fax Number
703-313-4945
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J330 0001 01 DC CF BC BS DC
P00148017 01 VA RAILROAD MEDICARE
102355 01 VA ANTHEM
2119441 01 VA ALLIANCE/ MAMSI
518960 01 VA NCPPO
267731 01 VA AMERIGROUP
3403215 01 VA AETNA HMO
010045479 05 VA
7099103 01 VA AETNA PPO
institution
Provider Business Practice Location Address Details
Address
6355 Walker Lane
City
State
Zip
22310
Phone Number
703-313-9111
Fax Number
703-313-4945
person
Provider Business Mailing Address Details
Address
6355 Walker Lane
City
State
Zip
22310
Phone Number
703-313-9111
Fax Number
703-313-4945
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101225797 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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