Fernando, Benedict

Fernando, Benedict is an individual health care provider with primary practice located at 1 Cellini Pl Ste 102 , West Haven CT 06516-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fernando, Benedict can be contacted via phone (203) 932-6481.

Contact Information

Primary practice address
1 Cellini Pl Ste 102 West Haven CT 06516-1666
Phone: (203) 932-6481
Fax: (203) 889-4953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 016636 Connecticut

Profile Details

NPI number 1932105624
LBN Legal business name Fernando, Benedict
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Feb 28th, 2023 - about last year

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 1932105624 NPPES
Connecticut MEDICAID 001166362
Connecticut Other 2033800
Connecticut Other P571228
Connecticut Other 010016636CT02
Connecticut Other 016636
Connecticut Other 110194408

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