Individual
RYAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
222 CEDAR LN STE 201, TEANECK, NJ 07666-4312
(201) 530-1900
(201) 530-9300
Mailing address
222 CEDAR LN STE 201, TEANECK, NJ 07666-4312
(201) 530-1900
(201) 530-9300
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00632500
NJ
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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