JAXON JAMES FERNANDES

BELLEVILLE, NJ
NPI1073675740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA08153000)
Enumeration Date2006-12-15
Last Update Date2007-10-24
Business Address
-- JAXON JAMES FERNANDES MD
1 CLARA MAASS DR
BELLEVILLE, NJ 07109-3550
Phone number: 973-450-2000
Mailing Address
-- JAXON JAMES FERNANDES MD
PO BOX 708640
SANDY, UT 84070-8640
Phone number: 866-869-2395
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