Doctor Name: | DR. ANGEL A HERNANDEZ |
NPI Number: | 1447244967 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA02948500 |
Business Practice Address: | 1160 Raymond Blvd Newark, NJ - 071024199 |
Business Phone Number: | 9735963857 |
Business Fax Number: | |
Mailing Address: | 66 West Gilbert Street, RED BANK |
State: | NJ |
Postal Code: | 077014918 |
Phone Number: | 7322120060 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 25MA02948500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |