MEDICARE: DANIEL J HYMAN 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	207R00000X	Internal Medicine Physician	MB58028	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0725322000	OTHER	NJ	AMERIHEALTH, KEYSTONE, IBC
2	3530533	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1012888	OTHER		HORIZON NJ HEALTH

General Provider Information

NPI Number	:	1346335023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J HYMAN DO

Provider Business Mailing Address
First Line	:	14 S BROADWAY
Second Line	:
City	:	GLOUCESTER CITY
State	:	NJ
Zip	:	08030-1706
Country	:	US
Telephone Number	:	856-456-0518
Fax Number	:	856-456-4359

Provider Business Practice Location Address
First Line	:	14 S BROADWAY
Second Line	:
City	:	GLOUCESTER CITY
State	:	NJ
Zip	:	08030-1706
Country	:	US
Telephone Number	:	856-456-0518
Fax Number	:	856-456-4359

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	04/25/2016

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Directions to “ DANIEL J HYMAN DO” Practice Location

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