Fernandez, Antonio Benicio

Fernandez, Antonio Benicio is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Cardiology Dept, Hartford CT 06102-5037. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fernandez, Antonio Benicio can be contacted via phone (860) 972-4398.

Contact Information

Primary practice address
80 Seymour Street Hartford Hospital Cardiology Dept Hartford CT 06102-5037
Phone: (860) 972-4398
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047988 Connecticut
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 047988 Connecticut
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 047988 Connecticut

Profile Details

NPI number 1417187709
LBN Legal business name Fernandez, Antonio Benicio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated Jul 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417187709 NPPES
Connecticut MEDICAID 001479880

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