Whalio Doctors

NPI 1083876155

Jesse Fisk, MD

Practitioner Emergency Medicine Physician Manchester, CT

Practice location

Address
71 Haynes St, Manchester, CT 06040-4131
Phone
(860) 646-1222

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 49561 (CT)

Registry record

NPI
1083876155
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2008
Record last updated
18 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.