NPI 1740734524

Manuel Fernandez MD PA

Organisation Preferred Provider Organization Edison, NJ

Practice location

Address: 205 May St, Edison, NJ 08837-3267
Phone: (732) 661-9075
Mailing address: 1070 Highway 34, Matawan, NJ 07747-3469

Authorised official

Name: Manuel Fernandez
Title: President
Phone: (732) 826-4177

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 03550900 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1740734524
Entity type: Organization
NPI issued: 9 Aug 2016
Record last updated: 9 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.