Individual
MELISSA FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106
(860) 545-9560
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
124835
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
55082
CT
Other
Enumeration date
06/19/2010
Last updated
04/14/2017
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