Individual
DR. BRUCE FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
35 WINTER ST, HYANNIS, MA 02601-3827
(508) 790-3863
(508) 790-3863
Mailing address
86 OLD COLONY DR, MASHPEE, MA 02649-2532
(508) 477-6955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1611603
—
MA
Enumeration date
08/19/2006
Last updated
08/08/2008
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