Individual
DR. MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(742) 597-3926
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA12193700
NJ
2086S0129X
Vascular Surgery Physician
25MA12193700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
07/28/2025
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