Individual
DWIGHT DANIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 RIDGE RD, LYNDHURST, NJ 07071-3206
(201) 372-3240
Mailing address
626 RIDGE RD, LYNDHURST, NJ 07071-3206
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01844900
NJ
Other
Enumeration date
03/13/2019
Last updated
03/09/2023
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