Provider Demographics
NPI:1922166388
Name:ALFRED FERNANDEZ M.D.P.C.
Entity Type:Organization
Organization Name:ALFRED FERNANDEZ M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:E
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-547-4747
Mailing Address - Street 1:512 ALBEMARLE DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5506
Mailing Address - Country:US
Mailing Address - Phone:757-547-4747
Mailing Address - Fax:757-547-1317
Practice Address - Street 1:512 ALBEMARLE DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5506
Practice Address - Country:US
Practice Address - Phone:757-547-4747
Practice Address - Fax:757-547-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty