| Leonardo S Fernandez, Llc | |
|
21 Cambridge Rd Holmdel NJ 07733-2078 | |
| (732) 500-1561 | |
| (732) 332-0415 |
| Full Name | Leonardo S Fernandez, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 21 Cambridge Rd, Holmdel, New Jersey |
| Authorized Official Name and Position | Leonardo Sequera Fernandez (PRESIDENT) |
| Authorized Official Contact | 7325001561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonardo S Fernandez, Llc 21 Cambridge Rd Holmdel NJ 07733-2078 Ph: (732) 500-1561 | Leonardo S Fernandez, Llc 21 Cambridge Rd Holmdel NJ 07733-2078 Ph: (732) 500-1561 |
| NPI Number | 1013117423 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 08/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013117423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA03012100 (New Jersey) | Primary |
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