Provider Demographics
NPI:1386739480
Name:FISCHER, RICHARD L (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:FISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER PERINATOLOGY ASSOCIATES - DORRRANCE 6TH FL
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031842E207V00000X, 207VM0101X
NJMA50913207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1839967OtherUNITED HEALTHCARE
NJ567950OtherPA BS HIGHMARK
NJ1008889OtherHORIZON NJ HEALTH
13546OtherUNIVERSITY HEALTH PLAN
NJ3K6171OtherHEALTHNET
NJ0389203000OtherAMERIHEALTH/KEYSTONE/IBC
NJ0659908Medicaid
NJ160059810OtherRR MEDICARE
NJ2051687/ 68581OtherAETNA
NJ5539450OtherCIGNA
NJ567950OtherAMERIHEALTH PPO/ PABS
NJP537091OtherOXFORD
NJCA0000167OtherAMERICHOICE
NJ1151592OtherHORIZON NJ HEALTH
NJ0659908Medicaid
NJ0389203000OtherAMERIHEALTH/KEYSTONE/IBC
NJ567980 DSQMedicare PIN