1609573252 NPI number — JUDITH S FERNANDO MD PLLC

Table of content: (NPI 1609573252)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609573252 NPI number — JUDITH S FERNANDO MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUDITH S FERNANDO MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609573252
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2193 COMMONWEALTH AVE STE 374
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRIGHTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02135-3853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
344 HARVARD ST STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLINE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02446-2942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
857-425-9970
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FERNANDO
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
Authorized Official Title or Position:
PSYCHIATRIST
Authorized Official Telephone Number:
857-425-9970

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)