=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194961235
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HECTOR J SANCHEZ M D P C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2008
-----------------------------------------------------
Last Update Date | 04/08/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 865 STONE ST
-----------------------------------------------------
City | RAHWAY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07065-2742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-381-4949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 129
-----------------------------------------------------
City | LANDISVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17538-0129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-381-4949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HECTOR J SANCHEZ
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 732-381-4949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 25MA04324900
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------