Individual
DR. JOSE A HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7505 OSLER DR, SUITE 509, TOWSON, MD 21204-7736
(410) 821-9533
(410) 494-7038
Mailing address
7505 OSLER DR, SUITE 509, TOWSON, MD 21204-7736
(410) 821-9533
(410) 494-7038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0020170
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4205
BS PROVIDER NUMBER
MD
01
—
T2170001
BLUE CHOICE NUMBER
MD
Enumeration date
10/04/2006
Last updated
06/24/2010
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