Individual
ANGELICA C FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-4430
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA11070500
NJ
Other
Enumeration date
08/02/2016
Last updated
07/15/2024
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