Fish, Stephanie A

Fish, Stephanie A is an individual health care provider with primary practice located at 3400 Spruce St 1 Maloney, Philadelphia PA 19104-4206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Fish, Stephanie A can be contacted via phone (215) 662-2300.

Contact Information

Primary practice address
3400 Spruce St 1 Maloney Philadelphia PA 19104-4206
Phone: (215) 662-2300
Fax: (215) 614-0418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD069641L Pennsylvania

Profile Details

NPI number 1770502262
LBN Legal business name Fish, Stephanie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 14th, 2011 - about 15 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 1770502262 NPPES
Pennsylvania MEDICAID 001897339

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