MEDICARE: DR. SEAN 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	2086S0122X	Plastic and Reconstructive Surgery Physician	25MA10644700	NJ

General Provider Information

NPI Number	:	1578839874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN HERMAN MD

Provider Business Mailing Address
First Line	:	535 SYCAMORE AVE
Second Line	:
City	:	SHREWSBURY
State	:	NJ
Zip	:	07702-4224
Country	:	US
Telephone Number	:	732-741-0970
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 JERSEY AVE STE 220
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4396
Country	:	US
Telephone Number	:	732-741-0970
Fax Number	:

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

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	08/24/2023

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