Organization
FERNANDO MD & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CORAZON FERNANDO M.D. (M.D.)
(717) 239-0320
Entity
Organization
Contact information
Practice address
231 N SHIPPEN ST, UNIT 21 B, LANCASTER, PA 17602-2770
(717) 239-0320
(717) 239-0322
Mailing address
231 N SHIPPEN ST, UNIT 21 B, LANCASTER, PA 17602-2770
(717) 239-0320
(717) 239-0322
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD032055E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02312000
BLUECROSS
PA
01
—
372656
BLUESHIELD
PA
Enumeration date
03/28/2007
Last updated
08/22/2020
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