Individual
DR. TIMOTHY MARTIN FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 CAMPUS POINT DRIVE, MAIL CODE 7381, LA JOLLA, CA 92037-7381
(858) 657-6485
(858) 657-7107
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A112514
CA
Other
Enumeration date
05/20/2007
Last updated
01/23/2018
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