Douglas S Fishman
MD | Pediatric Gastroenterology | Male
Douglas S Fishman, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Douglas S Fishman is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. He can be contacted on phone at
617-355-7953.
Douglas S Fishman is a sole proprietor of his business.
NPI number (Unique professional ID) for Douglas S Fishman is
1912962168 which was assigned by NPPES on 19 Apr, 2006 and it was last updated on 08 Mar, 2023.
Douglas S Fishman license number is
220952 for Pediatrics, Pediatric Gastroenterology (2080P0206X) in Massachusetts.
Douglas S Fishman specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Douglas S Fishman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Gastroenterology |
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| Provider Name : | Douglas S Fishman |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Douglas S Fishman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-7953 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1912962168 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Apr, 2006 |
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| Last Updated On : | 08 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas S Fishman are as mentioned. Primary taxonomy code for Douglas S Fishman, MD is
2080P0206X (Pediatrics, Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 220952 | MA |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | No | M5159 | TX |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | Yes | 220952 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Douglas S Fishman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0033602 | Other (non-Medicare) | MA | NeighborHood Health |
| 2091895 | MEDICAID | MA | |
| 469569 | Other (non-Medicare) | MA | Tufts |
| 6821914 | Other (non-Medicare) | MA | Cigna |
| A37922 | MEDICARE ID-Type Unspecified | MA | |
| AA16675 | Other (non-Medicare) | MA | Harvard Pilgrim |
| I21899 | MEDICARE UPIN | MA | |
| J27952 | Other (non-Medicare) | MA | Blue Cross |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 147 Milk St, Provider Enrollment - 9th Floor
Boston, MA, 02109-4806
United States |
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| Phone Number : | 617-559-8053 |
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| Fax Number : | 617-421-3487 |
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Business Location:
Patients can refer following map for directions to
Douglas S Fishman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.