Individual
DR. MIGUEL A FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 GORHAM ST, LOWELL, MA 01852-2575
(978) 452-4223
(978) 452-1511
Mailing address
30 GORHAM ST, LOWELL, MA 01852-2575
(978) 452-4223
(978) 452-1511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
008644
NY
111N00000X
Chiropractor
Primary
2221
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027881
NEIGHBORHOOD HEALTH PLAN
MA
05
—
1601091
—
MA
01
—
2554325
AETNA HEALTH PLAN
MA
01
—
464923
TUFTS HEALTH PLAN
MA
01
—
97437001
NETWORK HEALTH
MA
01
—
Y36592
BCBS OF MASSACHUSETTS
MA
Enumeration date
01/29/2007
Last updated
02/03/2016
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