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General NPI Number Information
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NPI Number | 1477085223
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Entity Type | Individual
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Provider Name | ADAM FERNANDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 655 SHREWSBURY AVE # 4
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4179
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Country | US
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Telephone | 732-450-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 99 E RIVER DR FL 5
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City | EAST HARTFORD
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State | CT
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Zip | 06108-7301
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Country | US
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Telephone | 203-929-7375
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Fax | 203-929-0756
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 71089
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA11843900
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License Number State | NJ
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