Doctor Name: | DR. MINDY CAROL FISHMAN |
NPI Number: | 1124044490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 032-715 |
Business Practice Address: | 46 Charter Oak Dr New Canaan, CT - 068406701 |
Business Phone Number: | 2035949171 |
Business Fax Number: | 2035949171 |
Mailing Address: | 46 Charter Oak Dr, NEW CANAAN |
State: | CT |
Postal Code: | 068406701 |
Phone Number: | 2035949171 |
Fax Number: | 2035949171 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 032-715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |