Organization
RODOLFO E FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO ENRIQUE FERNANDEZ M.D., M.H.S.A. (PRESIDENT)
(410) 747-6080
Entity
Organization
Contact information
Practice address
724 MAIDEN CHOICE LN STE 202, CATONSVILLE, MD 21228-5963
(410) 747-6080
(410) 747-3495
Mailing address
724 MAIDEN CHOICE LN STE 202, CATONSVILLE, MD 21228-5963
(410) 747-6080
(410) 747-3495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090788000
—
MD
Enumeration date
12/19/2006
Last updated
08/22/2019
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