| Organization Name: | BEVERLY A FISCHER MD P A |
| NPI Number: | 1053664136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLY A. FISCHER (OWNER) |
| Mailing Address: | 12205 Tullamore Rd Timonium |
| State: | MD US |
| Postal Code: | 210937816 |
| Phone Number: | 4103084700 |
| Fax Number: | 4103084704 |
| NPI Enumeration Date: | 10/26/2012 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |