Individual
EDWARD ANTHONY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1673 ROUTE 88, BRICK, NJ 08724-3071
(732) 458-2000
(732) 458-4523
Mailing address
1673 ROUTE 88, BRICK, NJ 08724-3071
(732) 458-2000
(732) 458-4523
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA12110000
NJ
Other
Enumeration date
03/20/2019
Last updated
08/26/2024
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