MEDICARE: DR. DEBRA K HERMANY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	OS 006034L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184698078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA K HERMANY DO

Provider Business Mailing Address
First Line	:	123 KOHLERS HILL RD
Second Line	:
City	:	KUTZTOWN
State	:	PA
Zip	:	19530-9180
Country	:	US
Telephone Number	:	610-683-3622
Fax Number	:	610-683-3622

Provider Business Practice Location Address
First Line	:	6TH AVE AND SPRUCE STREET
Second Line	:
City	:	WEST READING
State	:	PA
Zip	:	19611-1428
Country	:	US
Telephone Number	:	484-628-5637
Fax Number	:	484-628-8773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	04/27/2015

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