Individual
ALEJANDRO FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 MORGAN HWY STE 4, SCRANTON, PA 18508
(570) 344-3788
(570) 969-9280
Mailing address
5 MORGAN HWY STE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051130
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063355
BLUE CARE
PA
05
—
103205621-0005
—
PA
01
—
50076571
CAPITAL BLUE CROSS
PA
Enumeration date
09/15/2005
Last updated
09/17/2018
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