Individual
DR. PABLO D HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 278-0051
(614) 279-0811
Mailing address
1610 HAWTHORNE PARK, COLUMBUS, OH 43203-1764
(614) 258-1095
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
74801
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131599
—
OH
Enumeration date
04/18/2007
Last updated
07/08/2007
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