Provider Demographics
NPI:1871793331
Name:FISCHER, CHRISTOPHER MATTHEW (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MATTHEW
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 DEACONESS RD WEST CC2
Mailing Address - Street 2:DEPT OF EMERGENCY MEDICINE - BETH ISRAEL DEACONESS
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 DEACONESS RD, WEST CC2
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE, BETH ISRAEL DEACONESS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-754-2323
Practice Address - Fax:617-754-2350
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA232732207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ41993OtherBCBS
MA2137275Medicaid
MA496347OtherTUFTS
MAAA95716OtherHARVARD PILGRIM
MA496347OtherTUFTS
MA2137275Medicaid