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Individual

DR. GINA GERARDINE SANTOS FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9500
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15246
NH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019648
VT
05
32000927
NH
Enumeration date
06/03/2010
Last updated
01/05/2012
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