Individual
JULIO E DE PENA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 N TRADE ST, STE 2000, MATTHEWS, NC 28105-1728
(704) 302-8500
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-01711
NC
Other
Enumeration date
04/16/2015
Last updated
07/15/2024
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