DR. Kenneth Irwin Fishberger, MD

NPI #1649291451 in Port Jefferson, New York

Provider Information

NPI Number: 1649291451
Entity Type: Individual
Name: DR. Kenneth Irwin Fishberger, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 BELLE TERRE ROAD
Address 2: SUITE #110
City: Port Jefferson
State: New York
ZIP Code: 11777
Phone: (631) 642-9801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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