Individual
SUSAN V. FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
049502
CT
207ZP0101X
Anatomic Pathology Physician
20A7878
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
049502
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO01544
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A78780
—
CA
Enumeration date
11/20/2006
Last updated
01/28/2026
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