Organization
JUDITH S FERNANDO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH FERNANDO MD (PSYCHIATRIST)
(857) 425-9970
Entity
Organization
Contact information
Practice address
344 HARVARD ST STE 2, BROOKLINE, MA 02446-2942
(857) 425-9970
Mailing address
2193 COMMONWEALTH AVE STE 374, BRIGHTON, MA 02135-3853
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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