Alejandro Fernando PA-C

NPI 1083609952 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083609952
Gender Male
Enumeration Date 09/15/2005
Last Updated 06/17/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
150 MUNDY ST
WILKES BARRE PA, 18702-6830, US
Phone (570) 842-0930
Fax (570) 824-7755
Business Location
150 MUNDY ST
WILKES BARRE PA, 18702-6830, US
Phone (570) 842-0930
Fax (570) 824-7755
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA051130
Remove 1083609952 NPI Number
 

According to our database, Alejandro Fernando PA-C NPI is 1083609952, taxonomy code is 363AM0700X and license number is MA051130, license state is located at Pennsylvania. Alejandro Fernando PA-C physically located at 150 Mundy St, Wilkes Barre PA, 18702-6830. NPI Number Alejandro Fernando PA-C has the Individual type.

Sponsored links

1083609952 NPI number is provided on an as is basis without warranty of any kind. 1083609952 is maintained by the National Plan & Provider Enumeration System. The contents of Alejandro Fernando PA-C are for informational purposes only.