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Individual

DR. RAUL ALBERTO HERNANDEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2809 BELL ST STE A, ZANESVILLE, OH 43701-1741
(740) 453-5003
(740) 452-8826
Mailing address
2809 BELL ST STE A, ZANESVILLE, OH 43701-1741
(740) 453-5003
(740) 452-8826

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35-06-0804-H
OH
207RN0300X
Nephrology Physician
Primary
35060804
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0811992
OH
Enumeration date
07/27/2006
Last updated
05/27/2021
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