Fishman, Marc Judah

Fishman, Marc Judah is an individual health care provider with primary practice located at 3800 Frederick Avenue Na, Baltimore MD 21229-3618. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Fishman, Marc Judah can be contacted via phone (410) 233-1400.

Contact Information

Primary practice address
3800 Frederick Avenue Na Baltimore MD 21229-3618
Fax: (410) 233-5583
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X D0038913 Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MD19227 District of Columbia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD19227 District of Columbia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0038913 Maryland
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X D0038913 Maryland
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD19227 District of Columbia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D0038913 Maryland
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD19227 District of Columbia

Profile Details

NPI number 1649317264
LBN Legal business name Fishman, Marc Judah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 17 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 1649317264 NPPES
Other BF2501725 XF2501725 CONTROLLED SUBSTANCE REG

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