Individual
ALICIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
483 CRANBURY ROAD, UNIVERSITY RADIOLOGY GROUP PC, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Mailing address
579A CRANBURY ROAD, UNIVERSITY RADIOLOGY GROUP PC, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00155200
NJ
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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