Female

Mrs. Stephanie Fernandez PAC

Surgical Physician Assistant in Freehold, NJ(View on Map)

Full Name

Mrs. Stephanie Fernandez PAC

NPI Number

1679824908

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/26/2012

Specialties

(Taxonomies)

Code

363AS0400X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

New York

License Number

015963

Contact
Information

Purpose

Mailing
Location

Address

465 SOUTH ST STE 103
901 W MAIN ST STE 107

City

Morristown
Freehold

State

NJ
NJ

Postal Code

07960-6442
07728-2537

Country

US
US

Telephone Number

(973) 695-4726
(732) 677-1091

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/10/2024

Provider Address

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