person
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. You can also correspond with Jacinto Jose Fernandez through the mailing address at 718 TEANECK ROAD, TEANECK, NJ - 07666-4245 (mailing address contact number: 201-833-3000).

Location: 222 Cedar Lane, Teaneck, NJ, 07666-4245
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
State
Zip
07666-4312
Phone Number
201-833-7087
Fax Number
201-833-7123
person
Provider Business Mailing Address Details
Address
222 Cedar Lane
City
State
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
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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