Dr CLYDE S FISH is a male medical professional, specializing in Podiatry. He graduated in 1982.
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE
RI
029084728
Tel: 4014562000
| Npi | 1326148297 |
| Pac Id | 5294878328 |
| Professional Enrollment Id | I20100211000221 |
| Last Name | FISH |
| First Name | CLYDE |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1982 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROSPECT CHARTERCARE RWMC, LLC |
| Group Practice Pac Id | 0547492696 |
| Number Of Group Practice Members | 67 |
| Line 1 Street Address | 825 CHALKSTONE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 029084728 |
| Phone Number | 4014562000 |
| Hospital Affiliation Ccn 1 | 410004 |
| Hospital Affiliation Lbn 1 | ROGER WILLIAMS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 410009 |
| Hospital Affiliation Lbn 2 | KENT COUNTY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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