Individual
MR. HERNAN FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-6680
Mailing address
8 TRALEE RD, HAZLET, NJ 07730-1148
(732) 888-3671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005884
NY
363AS0400X
Surgical Physician Assistant
25MP00102600
NJ
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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