Individual
MR. EFRAHIM ANTONIO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10120 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3614
(410) 730-3399
Mailing address
6230 OLD DOBBIN LN STE 230, COLUMBIA, MD 21045-5884
(410) 730-3399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20501
MD
Other
Enumeration date
03/21/2021
Last updated
03/31/2025
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