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Dr. Angel A Hernandez

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NPI Number Detailed Information

Provider Information:

Name: Dr. Angel A Hernandez
Gender: M
Provider License Number If Given: 25MA02948500

NPI Information:

NPI: 1447244967
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 2/22/2008

Provider Business Mailing Address:

Address: 66 WEST GILBERT STREET
Red Bank, NJ 07701
Phone Number: 7322120060
Fax Number:

Provider Business Practice Location Address:

Address: 1160 RAYMOND BLVD
Newark, NJ 07102
Phone Number: 9735963857
Fax Number:

Provider Taxonomy:

Primary: 2084A0401X
Secondary (if any):
State: NJ