Individual
ALFRED E FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 ALBEMARLE DR, CHESAPEAKE, VA 23322-5506
(757) 547-4747
(757) 819-7945
Mailing address
512 ALBEMARLE DR, CHESAPEAKE, VA 23322-5506
(757) 547-4747
(757) 819-7945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101052574
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010181569
—
VA
01
—
178856
ANTHEM
VA
01
—
41055
SENTARA/OPTIMA
VA
01
—
5271236
AETNA
VA
01
—
541595397
MID ATLANTIC SOLUTIONS
VA
Enumeration date
02/10/2006
Last updated
04/08/2014
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