Individual
DR. EDWIN PARAS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-2516
(609) 561-1700
Mailing address
4 WIMBLEDON WAY, MARLTON, NJ 08053-2094
(856) 751-5664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06144000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027691C2B
MEDICARE BILLING NO.
NJ
Enumeration date
11/21/2006
Last updated
12/07/2007
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