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1649291451
KENNETH IRWIN FISHBERGER
PORT JEFFERSON, NY
NPI
1649291451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 129974)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Dr. KENNETH IRWIN FISHBERGER MD
200 BELLE TERRE ROAD SUITE #110
PORT JEFFERSON, NY 11777
Phone number: 631-642-9801
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Mailing Address
Dr. KENNETH IRWIN FISHBERGER MD
200 BELLE TERRE ROAD SUITE #110
PORT JEFFERSON, NY 11777
Phone number: 631-642-9801
Copy
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