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MANUEL F FERNANDEZ M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1558806869
Individual Registrant: MANUEL F FERNANDEZ M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
PO BOX LBJ PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222 Fax: 684-633-2893
Tel: 684-633-1222 Fax: 684-633-2893
Contact information for business:
PO BOX LBJ PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222 Fax: 684-633-2893
Tel: 684-633-1222 Fax: 684-633-2893
Registration Information:
NPI: 1558806869
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | AS | 2014-C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
