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Organization
PREMIER PERINATAL, L.L.C.
Active
Organization
PREMIER PERINATAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS OCTAVIO FERNANDEZ M.D. (PRESIDENT)
(732) 736-0300
Entity
Organization
Contact information
Practice address
1416 HOOPER AVE, SUITE 1, TOMS RIVER, NJ 08753-2825
(732) 736-0300
(732) 736-9600
Mailing address
1416 HOOPER AVE, SUITE 1, TOMS RIVER, NJ 08753-2825
(732) 736-0300
(732) 736-9600
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA06226600
NJ
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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