Individual
DR. FERNANDO Y JAYMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 HUBBARD ST, LUDLOW, MA 01056-2756
(413) 583-8980
(413) 589-1184
Mailing address
15 HUBBARD ST, LUDLOW, MA 01056-2756
(413) 583-8980
(413) 589-1184
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
51728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6174108
—
MA
Enumeration date
08/31/2006
Last updated
07/08/2007
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