Provider Demographics
NPI:1992816375
Name:FISCHER, MATTHEW J (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
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 1:241 SHIPPING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-3045
Mailing Address - Country:US
Mailing Address - Phone:410-343-0345
Mailing Address - Fax:
Practice Address - Street 1:2 MARTIN CT
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3833
Practice Address - Country:US
Practice Address - Phone:410-820-0621
Practice Address - Fax:410-820-0643
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE552OtherBLUE CHOICE
MDOF37MJOtherCAREFIRST BCBS
MDE552OtherBLUE CHOICE
MDOF37MJOtherCAREFIRST BCBS