Fischer, Edwin Garvin

Fischer, Edwin Garvin is an individual health care provider with primary practice located at 110 Francis St Suite 3B, Boston MA 02215-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Fischer, Edwin Garvin can be contacted via phone (617) 632-9795.

Contact Information

Primary practice address
110 Francis St Suite 3B Boston MA 02215-5501
Fax: (617) 632-0949
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 59315 Massachusetts

Profile Details

NPI number 1912949959
LBN Legal business name Fischer, Edwin Garvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 1st, 2014 - about 10 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 1912949959 NPPES
Massachusetts MEDICAID 0127698

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