Organization
DRS.FERNANDEZ AND SRIPRASERT P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSARIO P. FERNANDEZ M.D. (VICE-PRES.)
(301) 868-8200
Entity
Organization
Contact information
Practice address
7700 OLD BRANCH AVE, SUITE C102, CLINTON, MD 20735-1628
(301) 868-8200
(301) 868-6776
Mailing address
7700 OLD BRANCH AVE, SUITE C102, CLINTON, MD 20735-1628
(301) 868-8200
(301) 868-6776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0019518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006
CAREFIRST BLUESHIELD
DC
Enumeration date
11/29/2006
Last updated
11/05/2007
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