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Dr. Jacinto Jose Fernandez, MD
Specialist in Teaneck, New Jersey
NPI 1578567103

Jacinto Jose Fernandez is a Specialist based in Teaneck, NJ. Jacinto Jose Fernandez practices in Teaneck, NJ and has the professional credentials of MD. The NPI Number for Jacinto Jose Fernandez is 1578567103 and holds a License No. 25MA02831100 (New Jersey).

The current practice location address for Jacinto Jose Fernandez is 222 Cedar Lane, Teaneck, NJ and can be reached out via phone at 201-833-7087 and via fax at 201-833-7123.

Location: 222 Cedar Lane, Teaneck, NJ, 07666-4245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578567103
Provider Name
Jacinto Jose Fernandez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 Cedar Lane, Teaneck, NJ, 07666-4245
Phone Number
201-833-7087
Fax Number
201-833-7123
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0297972 01 NJ GHI PPO #
584E41 01 NJ EMPIRE BC/BS #
1060081 01 NJ HORIZON NJ HEALTH #
3080924 01 NJ AETNA HMO #
4208689 01 NJ AETNA PPO #
BP368 01 NJ OXFORD PROVIDER #
421565777 01 NJ TAX IDENTIFICATION #
2K1678 01 NJ HEALTHNET #
institution
Provider Business Practice Location Address Details
Address
222 Cedar Lane
City
Teaneck
State
New Jersey
Zip
07666-4312
Phone Number
201-833-7087
Fax Number
201-833-7123
person
Provider Business Mailing Address Details
Address
222 Cedar Lane
City
Teaneck
State
New Jersey
Zip
07666-4312
Phone Number
201-833-7087
Fax Number
201-833-7123
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA02831100 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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