DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE E HENNANDEZ

Active Sole Proprietor

JOSE E HENNANDEZ is a Contractor healthcare provider located in PROSPECT PARK, New Jersey. NPI 1114596434 is currently active in the NPPES registry. Verify at CMS.

Contractor · PROSPECT PARK, NJ

Registration Details

NPI Number
1114596434
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2021 (5.1655341828093 yrs)
Last Updated
Jun 21, 2021
Sole Proprietor
Yes

Practice Information

Address
85 N 17TH ST
PROSPECT PARK, NJ, 075081827
Browse NJ providers · Browse ZIP 07508
Phone
8622975378
Primary Specialty
Contractor
171W00000X
Additional Specialty
Contractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.