Individual
DR. JEFFREY E. FERNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9733 HEALTHWAY DRIVE, BERLIN, MD 21811
(410) 641-9450
(410) 641-9515
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3850
AZ
207L00000X
Anesthesiology Physician
Primary
H0068754
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79085901
—
AZ
Enumeration date
09/23/2005
Last updated
06/10/2009
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