Individual
MANUAL A FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 MAY ST, SUITE 103, EDISON, NJ 08837-3267
(732) 661-9075
Mailing address
PO BOX 387, FORDS, NJ 08863-0387
(732) 826-4177
(732) 607-1160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA35509
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432903
—
NJ
Enumeration date
04/18/2006
Last updated
07/22/2009
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