JUSTINO FERNANDES MD NPI 1154301216

NPI Information

NPI: 1154301216
Provider Name: JUSTINO FERNANDES, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
275 SANDWICH ST
PLYMOUTH, MA
ZIP 02360
Phone: (508) 830-2120
Get Directions

Justino Fernandes, MD is a diagnostic radiology radiology in Plymouth, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Justino Fernandes, MD NPI is 1154301216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

275 SANDWICH ST
PLYMOUTH, MA
ZIP 02360-183
Phone: (508) 830-2120

The enumeration date for this NPI number is 1/17/2006 and was last updated on 12/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	36244	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2054175	MEDICAID	MASSACHUSETTS
2	B97191	MEDICARE UPIN
3	C05161	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	FX4517	MEDICARE PIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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