NPI 1083876155
Jesse Fisk, MD
Practice location
- Address
- 71 Haynes St, Manchester, CT 06040-4131
- Phone
- (860) 646-1222
Registered specialties
Emergency Medicine Physician
Primary
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.