Organization
DR. JOHN G. HERNANDEZ & ASSOC. INC
Active
Other names
John G. Hernandez, MD Assoc., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. HERNANDEZ M.D. (OWNER OF BUSINESS)
(978) 745-0151
Entity
Organization
Contact information
Practice address
79 HIGHLAND AVE, SUITE 308, SALEM, MA 01970-2711
(978) 745-0151
(978) 745-0203
Mailing address
79 HIGHLAND AVE, SUITE 308, SALEM, MA 01970-2711
(978) 745-0151
(978) 745-0203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
56700
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9753044
—
MA
Enumeration date
04/17/2007
Last updated
10/20/2009
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