Individual
ALYSSA KATE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 E 2ND ST, SCOTCH PLAINS, NJ 07076-1749
(908) 322-7786
(908) 322-0191
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10066300
NJ
207R00000X
Internal Medicine Physician
MT204767
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT204767
PA
Other
Enumeration date
06/03/2013
Last updated
05/01/2017
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