Provider Demographics
NPI:1053481879
Name:HERNANDO, FRANKLIN P (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:P
Last Name:HERNANDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730
Mailing Address - Country:US
Mailing Address - Phone:732-264-7171
Mailing Address - Fax:732-264-5388
Practice Address - Street 1:55 VILLAGE CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730
Practice Address - Country:US
Practice Address - Phone:732-264-7171
Practice Address - Fax:732-264-5388
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02860700208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA02860700Medicaid
NJ25MA02860700Medicaid
E51456Medicare UPIN