Provider Demographics
NPI:1366563512
Name:FISHER, CYRIL (MD)
Entity type:Individual
Prefix:
First Name:CYRIL
Middle Name:
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 GODFREY STREET
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:GB
Mailing Address - Zip Code:SW3 3SX
Mailing Address - Country:GB
Mailing Address - Phone:207-808-2630
Mailing Address - Fax:
Practice Address - Street 1:ROYAL MARSDEN HOSPITAL
Practice Address - Street 2:203 FULHAM ROAD
Practice Address - City:LONDON
Practice Address - State:GB
Practice Address - Zip Code:SW36JJ
Practice Address - Country:GB
Practice Address - Phone:207-808-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43245207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology