Organization
HENRY FERNANDEZ-COS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY FERNANDEZ-COS M.D. (DELEGATED OFFICIAL)
(201) 816-9229
Entity
Organization
Contact information
Practice address
106 GRAND AVE, ENGLEWOOD, NJ 07631-3574
(201) 816-9636
Mailing address
419 66TH ST, WEST NEW YORK, NJ 07093-2401
(201) 861-9229
(201) 861-9272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04426200
NJ
Other
Enumeration date
11/13/2006
Last updated
04/20/2008
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