Organization
G&L MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J FERNANDEZ MD (FAMILY MEDICINE PROVIDER/OWNER)
(631) 259-1995
Entity
Organization
Contact information
Practice address
401 BOTULPH LN, SANTA FE, NM 87505-6912
(631) 259-1995
Mailing address
401 BOTULPH LN, SANTA FE, NM 87505-6912
(631) 259-1995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/24/2023
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