Individual
MR. TYLER JAMES FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 SEARS DR, PARAMUS, NJ 07652-3515
(201) 556-1225
Mailing address
90 CHRISTOPHER COLUMBUS DR APT 3102, JERSEY CITY, NJ 07302-5716
(774) 254-5924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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