Individual
BENEDICT FERNANDO
Active
Individual
BENEDICT FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016636
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001166362
—
CT
01
—
010016636CT02
ANTHEM BLUE SHIELD
CT
01
—
016636
CONNECTICARE
CT
01
—
110194408
RAILROAD MEDICARE
CT
01
—
2033800
AETNA
CT
01
—
P571228
OXFORD
CT
Enumeration date
06/27/2005
Last updated
02/28/2023
Update your record
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