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1205006822
MATTHEW R FERNANDEZ
MIDDLETOWN, CT
NPI
1205006822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 002064)
Enumeration Date
2008-03-11
Last Update Date
2020-02-27
Business Address
Mr. MATTHEW R FERNANDEZ PA-C
410 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457-4780
Phone number: 860-685-8940
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Mailing Address
Mr. MATTHEW R FERNANDEZ PA-C
410 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457-4780
Phone number: 860-685-8940
Copy
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