Mayda Hernandez, RD | |
2339 Route 70 W Fl 3, Cherry Hill, NJ 08002-3315 | |
(787) 378-8736 | |
Not Available |
Full Name | Mayda Hernandez |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2339 Route 70 W Fl 3, Cherry Hill, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083339840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86154305 (New Jersey) | Primary |
Provider Name | Cmc Department Of Medicine Group Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386682094 PECOS PAC ID: 2163335878 Enrollment ID: O20050104000343 |
Mailing Address | Practice Location Address |
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Mayda Hernandez, RD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Mayda Hernandez, RD 2339 Route 70 W Fl 3, Cherry Hill, NJ 08002-3315 Ph: (787) 378-8736 |
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