Organization
WASHINGTON FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA RAMONA FERNANDEZ MD (OWNER)
(973) 348-9173
Entity
Organization
Contact information
Practice address
191 US HIGHWAY 206, SUITE 5, FLANDERS, NJ 07836-9002
(973) 584-0045
(973) 584-0094
Mailing address
137 SMITHFIELD COURT, BASKING RIDGE, NJ 07920-2789
(973) 348-9173
(908) 271-6556
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA07631200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174678114
INDIVIDUAL NPI
NJ
Enumeration date
05/03/2007
Last updated
09/14/2011
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