Individual
MR. MATTHEW R FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
410 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4780
(860) 685-8940
(860) 685-8944
Mailing address
410 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4780
(860) 685-8940
(860) 685-8944
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002064
CT
Other
Enumeration date
03/11/2008
Last updated
02/27/2020
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