Dr GREGORY M FERNANDES is a male medical professional, specializing in Pathology. He graduated in 1972.
MARIO GONZALEZ, MD
350 BOULEVARD
PASSAIC
NJ
070552840
Tel: 9738775200
| Npi | 1417012337 |
| Pac Id | 7810083169 |
| Professional Enrollment Id | I20071017000654 |
| Last Name | FERNANDES |
| First Name | GREGORY |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1972 |
| Primary Specialty | PATHOLOGY |
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| Organization Legal Name | MARIO GONZALEZ, MD |
| Group Practice Pac Id | 3779509641 |
| Number Of Group Practice Members | 15 |
| Line 1 Street Address | 350 BOULEVARD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PASSAIC |
| State | NJ |
| Zip Code | 070552840 |
| Phone Number | 9738775200 |
| Hospital Affiliation Ccn 1 | 310006 |
| Hospital Affiliation Lbn 1 | ST MARY'S GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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