Rodolfo E Fernandez Md Pa | |
724 Maiden Choice Ln Ste 202 Catonsville MD 21228-5963 | |
(410) 747-6080 | |
(410) 747-3495 |
Full Name | Rodolfo E Fernandez Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 724 Maiden Choice Ln Ste 202, Catonsville, Maryland |
Authorized Official Name and Position | Rodolfo Enrique Fernandez (PRESIDENT) |
Authorized Official Contact | 4107476080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rodolfo E Fernandez Md Pa 724 Maiden Choice Ln Ste 202 Catonsville MD 21228-5963 Ph: (410) 747-6080 | Rodolfo E Fernandez Md Pa 724 Maiden Choice Ln Ste 202 Catonsville MD 21228-5963 Ph: (410) 747-6080 |
NPI Number | 1447313432 |
---|---|
Provider Enumeration Date | 12/19/2006 |
Last Update Date | 08/22/2019 |
Medicare PECOS PAC ID | 6800883349 |
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Medicare Enrollment ID | O20040427001615 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447313432 | NPI | - | NPPES |
090788000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Rodolfo E Fernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487661237 PECOS PAC ID: 0941297493 Enrollment ID: I20080221000358 |
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