Individual
DR. JUSTIN REID FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
249272
MA
208600000X
Surgery Physician
236964
MA
Other
Enumeration date
10/28/2008
Last updated
12/03/2020
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