1932196995 NPI number — DR. RONALD FISCHMAN ED D

Table of content: DR. RONALD FISCHMAN ED D (NPI 1932196995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932196995 NPI number — DR. RONALD FISCHMAN ED D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FISCHMAN
Provider First Name:
RONALD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
ED D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932196995
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 421
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHBORO
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18954-0421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-794-9535
Provider Business Mailing Address Fax Number:
215-794-9545

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 W WOOD ST
Provider Second Line Business Practice Location Address:
MCSHEA HALL RM 320
Provider Business Practice Location Address City Name:
NORRISTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19401-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-794-9535
Provider Business Practice Location Address Fax Number:
215-794-9545
Provider Enumeration Date:
10/04/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS2032L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)