Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FERNANDO F. ILLESCAS, M.D.
ActiveFERNANDO F. ILLESCAS, M.D. is a Therapeutic Radiology healthcare provider located in BLOOMFIELD, Connecticut. NPI 1417933961 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · BLOOMFIELD, CT
Registration Details
- NPI Number
- 1417933961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2005 (20.688540483402 yrs)
- Last Updated
- May 3, 2018
- License
-
031371 (CT)
Practice Information
- Address
-
701 COTTAGE GROVE RD STE E110BLOOMFIELD, CT, 060023085Browse CT providers · Browse ZIP 06002
- Phone
- 8602652529
- Fax
- 8604639562
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.