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MRS. STEPHANIE FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
901 W MAIN ST STE 107, FREEHOLD, NJ 07728-2537
(732) 677-1091
(732) 431-4640
Mailing address
465 SOUTH ST STE 103, MORRISTOWN, NJ 07960-6442
(973) 695-4726
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015963
NY
363AS0400X
Surgical Physician Assistant
Primary
015963
NY

Other

Enumeration date
09/26/2012
Last updated
04/10/2024
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