| John F. Fisher, Md Pa | |
|
16 E Main St Sussex NJ 07461-2110 | |
| (973) 875-3646 | |
| (973) 875-2021 |
| Full Name | John F. Fisher, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 E Main St, Sussex, New Jersey |
| Authorized Official Name and Position | John F Fisher (OWNER) |
| Authorized Official Contact | 9738753646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John F. Fisher, Md Pa 16 E Main St Sussex NJ 07461-2110 Ph: (973) 875-3646 | John F. Fisher, Md Pa 16 E Main St Sussex NJ 07461-2110 Ph: (973) 875-3646 |
| NPI Number | 1184979502 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 9931359320 |
|---|---|
| Medicare Enrollment ID | O20121019000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184979502 | NPI | - | NPPES |
| 1391208 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04056400 (New Jersey) | Primary |
| Provider Name | John F Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073583720 PECOS PAC ID: 7810913886 Enrollment ID: I20051019000252 |
Sussex Community Urgent Care A Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Sussex, NJ 07461 Phone: 973-983-5570 Fax: 973-983-1616 |