Organization
MANUEL FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL FERNANDEZ MD (PRESIDENT)
(732) 826-4177
Entity
Organization
Contact information
Practice address
205 MAY ST, EDISON, NJ 08837-3267
(732) 661-9075
Mailing address
1070 HIGHWAY 34, MATAWAN, NJ 07747-3469
(908) 902-9982
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
03550900
NJ
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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