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NPI Code Detail

MEDICARE: DR. BRAD HERMAN MD

MEDICARE: DR. BRAD 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
1207QA0505XAdult Medicine PhysicianMA052652NJ
2207RC0000XCardiovascular Disease PhysicianMA052652NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001446997001OTHERNJUNITED HEALTHCARE
2376425OTHERMVP
301092OTHEREMPIRE BLUE CROSS
45051364OTHERNJAETNA
50K1969OTHERNJHEALTHNET
6221868199OTHERNJTAX ID
7578708OTHERNJCROWN CORK AND SEAL
8P1594582OTHERNJOXFORD
901092OTHERWELLCHOICE

General Provider Information

NPI Number : 1760484729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRAD HERMAN MD
Provider Business Mailing Address
First Line : 11-26 SADDLE RIVER RD
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-5634
Country : US
Telephone Number : 201-796-9200
Fax Number : 201-796-7606
Provider Business Practice Location Address
First Line : 11-26 SADDLE RIVER RD
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-5634
Country : US
Telephone Number : 201-796-9200
Fax Number : 201-796-7606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 09/09/2008

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Directions to “ DR. BRAD HERMAN MD” Practice Location

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