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NPI Code Detail

MEDICARE: SARAH FERNANDEZ

MEDICARE: SARAH FERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568133684
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH FERNANDEZ
Provider Business Mailing Address
First Line : 16 CAMELIA AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16 CAMELIA AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1008
Country : US
Telephone Number : 617-665-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2021
Last Update Date : 04/28/2026

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Directions to “ SARAH FERNANDEZ ” Practice Location

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