Individual
DR. EUGENE AGNELO FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9229 FRANKFORD AVE, PHILADELPHIA, PA 19114
(215) 624-8899
(215) 624-8861
Mailing address
9229 FRANKFORD AVE, PHILADELPHIA, PA 19114
(215) 624-8899
(215) 624-8861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035687L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278420
—
PA
Enumeration date
09/16/2006
Last updated
11/06/2007
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