Provider Demographics
NPI:1982449468
Name:FISHER COLLEGE
Entity type:Organization
Organization Name:FISHER COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLEGENURSE
Authorized Official - Prefix:
Authorized Official - First Name:SZILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-236-8860
Mailing Address - Street 1:118 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1501
Mailing Address - Country:US
Mailing Address - Phone:617-236-8860
Mailing Address - Fax:
Practice Address - Street 1:118 BEACON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1501
Practice Address - Country:US
Practice Address - Phone:617-236-8860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health