Individual
DR. ANDRES FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 WALNUT STREET, COB 2ND FLOOR, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 923-6792
Mailing address
909 WALNUT STREET, COB 2ND FLOOR, PHILADELPHIA, PA 19107-5509
(215) 955-1234
(215) 923-6792
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
261254
NY
2084N0400X
Neurology Physician
Primary
MD452167
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356796
—
NY
Enumeration date
09/05/2008
Last updated
06/26/2014
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