Fernandez, Rodolfo Enrique

Fernandez, Rodolfo Enrique is an individual health care provider with primary practice located at 724 Maiden Choice Ln Suite 202, Catonsville MD 21228-5911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Fernandez, Rodolfo Enrique can be contacted via phone (410) 747-6080.

Contact Information

Primary practice address
724 Maiden Choice Ln Suite 202 Catonsville MD 21228-5911
Phone: (410) 747-6080
Fax: (410) 747-3495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X D0050303 Maryland

Profile Details

NPI number 1487661237
LBN Legal business name Fernandez, Rodolfo Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 9th, 2019 - about 7 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 1487661237 NPPES
Maryland MEDICAID 090788000

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