MEDICARE: DR. CARL H 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
1	208000000X	Pediatrics Physician	MA22062	NJ

General Provider Information

NPI Number	:	1083602478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL H HERMAN MD

Provider Business Mailing Address
First Line	:	206 BAYBERRY LN
Second Line	:
City	:	WATCHUNG
State	:	NJ
Zip	:	07069-6106
Country	:	US
Telephone Number	:	908-273-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 BAYBERRY LN
Second Line	:
City	:	WATCHUNG
State	:	NJ
Zip	:	07069-6106
Country	:	US
Telephone Number	:	908-273-4300
Fax Number	:

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/26/2008

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