DR. MARC JUDAH FISHMAN M.D. NPI 1649317264

NPI Information

NPI: 1649317264
Provider Name: DR. MARC JUDAH FISHMAN, M.D.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
3800 FREDERICK AVENUE
NA
BALTIMORE, MD
ZIP 21229
Phone: (410) 233-1400
Get Directions

DR. Marc Judah Fishman, M.D. is an addiction medicine psychiatry neurology in Baltimore, MD. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Marc Judah Fishman, M.D. NPI is 1649317264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3800 FREDERICK AVENUE
NA
BALTIMORE, MD
ZIP 21229-618
Phone: (410) 233-1400
Fax: (410) 233-5583

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	D0038913	MARYLAND	Yes
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	MD19227	DISTRICT OF COLUMBIA	X
3	2084P0800X	Psychiatry & Neurology	Psychiatry	MD19227	DISTRICT OF COLUMBIA	X
4	2084P0800X	Psychiatry & Neurology	Psychiatry	D0038913	MARYLAND	X
5	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	D0038913	MARYLAND	X
6	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	MD19227	DISTRICT OF COLUMBIA	X
7	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	D0038913	MARYLAND	X
8	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD19227	DISTRICT OF COLUMBIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BF2501725 XF2501725	OTHER		CONTROLLED SUBSTANCE REG
2	F32493	MEDICARE UPIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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