Fernandez, Eric

Fernandez, Eric is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fernandez, Eric can be contacted via phone (973) 429-6000.

Contact Information

Primary practice address
1 Bay Ave Montclair NJ 07042-4837
Phone: (973) 429-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA0734300 New Jersey

Profile Details

NPI number 1114926458
LBN Legal business name Fernandez, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Apr 24th, 2008 - about 16 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 1114926458 NPPES
New Jersey MEDICAID 0068578

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