Individual
ILSEN ELIZABETH HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 983-5583
Mailing address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 983-5583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92360
SC
Other
Enumeration date
05/28/2021
Last updated
10/25/2024
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