Active NPIIndividual provider

Dr. Tamara M Fisicaro, MD

Internal Medicine in Blackwood, New Jersey

NPI Number1700094075
Practice location
527 S. Black Horse Pike, Blackwood, NJ 08012
Fax
856-245-7719
Last updated
March 18, 2014

Tamara Marie Fisicaro is an Internal Medicine based in Blackwood, NJ. Tamara Marie Fisicaro practices in Blackwood, NJ and has the professional credentials of MD. The NPI Number for Tamara Marie Fisicaro is 1700094075 and holds a License No. 25MA08576700 (NJ). The current practice location address for Tamara Marie Fisicaro is 527 S. Black Horse Pike, Blackwood, NJ 08012 and can be reached out via phone at 856-302-5322 and via fax at 856-245-7719.

Provider Profile Details

NPI Number
1700094075
Provider Name
Tamara Marie Fisicaro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
527 S. Black Horse Pike, Blackwood, NJ 08012
Phone Number
856-302-5322
Fax Number
856-245-7719
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2007
Last Update Date
March 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
527 S. Black Horse Pike
Blackwood, NJ 08012
Zip
08012
Phone Number
856-302-5322
Fax Number
856-245-7719
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
527 S. Black Horse Pike
Blackwood, NJ 08012
City
Blackwood
State
NJ
Zip
08012
Phone Number
856-302-5322
Fax Number
856-245-7719

License Information

License Number
25MA08576700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine providers near Blackwood, NJ

View all Internal Medicine providers in Blackwood →

Frequently Asked Questions

What is the NPI number of Dr. Tamara M Fisicaro, MD?

The NPI number of Dr. Tamara M Fisicaro, MD is 1700094075. It was assigned on May 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Tamara M Fisicaro, MD?

Dr. Tamara M Fisicaro, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08576700.

Where does Dr. Tamara M Fisicaro, MD practice?

The practice location is 527 S. Black Horse Pike, Blackwood, NJ 08012. The office can be reached at 856-302-5322 (phone) or 856-245-7719 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700094075 directly on the NPPES registry website.

Browse related providers