Basic Information
Provider Information
NPI: 1639215288
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FISHEL
FirstName: JOSEPH
MiddleName: DONOVAN
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 PROSPECT ST.
Address2:  
City: NASHUA
State: NH
PostalCode: 03060
CountryCode: US
TelephoneNumber: 6038896147
FaxNumber: 6038831568
Practice Location
Address1: 7 PROSPECT ST.
Address2:  
City: NASHUA
State: NH
PostalCode: 03060
CountryCode: US
TelephoneNumber: 6038896147
FaxNumber: 6038831568
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 04/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XME53640FLN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XMD-5658HIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XT0980NHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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