Individual
ROSARIO P FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7700 OLD BRANCH AVE, SUITE C102, CLINTON, MD 20735-1628
(301) 868-8200
(301) 868-6776
Mailing address
7700 OLD BRANCH AVE, SUITE C102, CLINTON, MD 20735-1628
(301) 868-8200
(301) 868-6776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0019518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006-0002
CAREFIRST BLUESHIELD
DC
Enumeration date
11/20/2007
Last updated
11/20/2007
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