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NPI Code Detail

MEDICARE: STEVEN DAVID HERMAN M.D.

MEDICARE: STEVEN DAVID HERMAN M.D.
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
12085R0202XDiagnostic Radiology PhysicianMD032907EPA
22085R0202XDiagnostic Radiology PhysicianC10006396DE

General Provider Information

NPI Number : 1609876689
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DAVID HERMAN M.D.
Provider Business Mailing Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 215-662-3000
Fax Number : 215-662-7011
Provider Business Practice Location Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 215-662-3000
Fax Number : 215-662-7011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 08/05/2019

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