Individual
JACQUELINE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2027 MORRIS AVE, UNION, NJ 07083
(908) 810-9147
(908) 688-7518
Mailing address
PO BOX 2160, UNION INTERNAL MEDICINE GROUP, UNION, NJ 07083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA058703
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6198805
—
NJ
Enumeration date
07/27/2006
Last updated
12/17/2012
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