MEDICARE: THOMAS MICHAEL HERB 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
1	390200000X	Student in an Organized Health Care Education/Training Program	4351046339	MI
2	207ZF0201X	Forensic Pathology Physician	MD491943	PA

General Provider Information

NPI Number	:	1881219293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MICHAEL HERB MD

Provider Business Mailing Address
First Line	:	400 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-4015
Country	:	US
Telephone Number	:	215-685-7458
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-4015
Country	:	US
Telephone Number	:	215-685-7458
Fax Number	:

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

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	02/06/2026

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