Individual
DR. AMANDA RITA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 CAMBRIDGE ST, CHARLES RIVER PLAZA, CPZ 502, BOSTON, MA 02114-2783
(617) 643-9179
Mailing address
165 CAMBRIDGE ST, CHARLES RIVER PLAZA, CPZ 502, BOSTON, MA 02114-2783
(617) 643-9179
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
20262
NH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
253091
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/22/2011
Last updated
07/19/2023
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