Healthcare Provider Details

I. General information

NPI: 1902845746
Provider Name (Legal Business Name): DANIEL ERIC HERMANN M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 SPRINGFIELD AVE
WESTFIELD NJ
07090-1024
US

IV. Provider business mailing address

1 DIAMOND HILL RD SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS NJ
07922-2104
US

V. Phone/Fax

Practice location:
  • Phone: 908-588-3740
  • Fax: 908-228-3621
Mailing address:
  • Phone: 908-228-3620
  • Fax: 908-228-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA07448600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: