Individual
DR. PHILLIP HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76542
MA
2084P0804X
Child & Adolescent Psychiatry Physician
76542
MA
Other
Enumeration date
07/21/2006
Last updated
08/08/2024
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