Individual
FORREST B FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 349-8310
(215) 893-7270
Mailing address
51 N 39TH ST, 1 MOB STE 120, PHILADELPHIA, PA 19104-4206
(215) 349-8310
(215) 893-7270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD430199
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD430199
PA
Other
Enumeration date
10/05/2006
Last updated
01/06/2026
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