Individual
IVAN SANCHEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
291456
MA
2084N0400X
Neurology Physician
291456
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
291456
MA
Other
Enumeration date
07/29/2014
Last updated
12/31/2025
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