Diaz Hernandez, Jose Juan

Diaz Hernandez, Jose Juan is an sole proprietor health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Diaz Hernandez, Jose Juan can be contacted via phone (973) 926-7000.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (973) 926-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA09202800 New Jersey
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 260231 New York

Profile Details

NPI number 1346592417
LBN Legal business name Diaz Hernandez, Jose Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2012
Last updated Oct 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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