Individual
ALEX DEVANTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
1318 SOUTH ST APT 2FB, PHILADELPHIA, PA 19147-1823
(646) 749-7004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OT022997
PA
Other
Enumeration date
06/27/2023
Last updated
03/31/2024
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