Provider Demographics
NPI:1063610608
Name:HARVEY A. FISHMAN, M.D., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:HARVEY A. FISHMAN, M.D., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:FISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:650-322-4393
Mailing Address - Street 1:706 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2628
Mailing Address - Country:US
Mailing Address - Phone:650-322-4393
Mailing Address - Fax:650-322-1921
Practice Address - Street 1:706 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2628
Practice Address - Country:US
Practice Address - Phone:650-322-4393
Practice Address - Fax:650-322-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty