Individual
YVETTE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 CHASE PKWY, THIRD FLOOR, WATERBURY, CT 06708-3346
(203) 754-5504
Mailing address
500 CHASE PKWY, SUITE 300, WATERBURY, CT 06708-3346
(203) 754-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046758
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
046758
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004330
—
CT
01
—
010046758CT01
ANTHEM
CT
Enumeration date
06/09/2006
Last updated
12/03/2009
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