DR. Johanna Henriquez, DO
NPI #1700047214 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1700047214
- Entity Type
- Individual
- Name
- DR. Johanna Henriquez, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- DO
- Enumeration Date
- Jun 18, 2008
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 1301 WALL ST W
- Address 2
- #4105
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-3514
- Phone
- (201) 214-3813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Internal Medicine |
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