Fernandez, Jacinto Jose

Fernandez, Jacinto Jose is an individual health care provider with primary practice located at 222 Cedar Lane Suite 207, Teaneck NJ 07666-4312. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fernandez, Jacinto Jose can be contacted via phone (201) 833-7087.

Contact Information

Primary practice address
222 Cedar Lane Suite 207 Teaneck NJ 07666-4312
Phone: (201) 833-7087
Fax: (201) 833-7123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA02831100 New Jersey

Profile Details

NPI number 1578567103
LBN Legal business name Fernandez, Jacinto Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 28th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578567103 NPPES
New Jersey Other 0297972 GHI PPO #
New Jersey Other 584E41 GHI PPO #
New Jersey Other 1060081 GHI PPO #
New Jersey Other 3080924 GHI PPO #
New Jersey Other 4208689 GHI PPO #
New Jersey Other BP368 GHI PPO #
New Jersey Other 421565777 GHI PPO #
New Jersey Other 2K1678 GHI PPO #

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