Individual
DR. ZACHARY KRIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901
(908) 522-2000
Mailing address
16 PHYLLIS DR, SUCCASUNNA, NJ 07876-1031
(973) 981-3655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10358000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245677004
—
PA
Enumeration date
06/03/2013
Last updated
12/12/2018
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