IndividualActive
Forrest Fernandez, MD
NPI 1174619969 · Surgical Critical Care Physician · Philadelphia, PA
Provider details
- NPI number
- 1174619969
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD430199 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce Street
Philadelphia, PA 19104-3309
Phone: (215) 349-8310
Fax: (215) 893-7270
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce Street
Philadelphia, PA 19104-3309
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.