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Contact Information

WILLIAM WYMAN FISKE, MD
134 ANSEL HALLET RD
WEST YARMOUTH, MA02673-2582
 Phone: 508-771-9779
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for WILLIAM WYMAN FISKE · (Male)

NPI Number 1780624213
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 05/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 74240
  • MA Medicaid 110095135A
  • MA Other J11263 BLUE CROSS BLUE SHIELD
  • MA Other P00429633 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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