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NPI Code Detail

MEDICARE: DR. RICHARD I HERMAN MD

MEDICARE: DR. RICHARD I HERMAN MD
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
12085R0202XDiagnostic Radiology Physician43709MA

Other Identifiers

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

General Provider Information

NPI Number : 1316907116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD I HERMAN MD
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVE
Second Line : FL 2
City : BOSTON
State : MA
Zip : 02118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 DORCHESTER AVE
Second Line :
City : BOSTON
State : MA
Zip : 02124-5615
Country : US
Telephone Number : 617-296-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 03/16/2026

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