Individual
MR. MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 HORIZON RD, FORT LEE, NJ 07024-6652
(201) 886-8989
(201) 886-8990
Mailing address
6 HORIZON RD, FORT LEE, NJ 07024-6652
(201) 886-8989
(201) 886-8990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07477500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110245561
RAILROAD MEDICARE
NJ
Enumeration date
05/20/2006
Last updated
09/24/2024
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