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Individual

DAVID HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NREMT

Contact information

Practice address
111 CENTRAL AVE # EMS, NEWARK, NJ 07102-1909
(973) 820-1711
Mailing address
155 CLINTON RD UNIT 1271, WEST CALDWELL, NJ 07007-7038
(973) 820-1711

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1438-3160-4758
146N00000X
Basic Emergency Medical Technician
Primary
566558
NJ

Other

Enumeration date
12/11/2024
Last updated
12/11/2024
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