# DANIEL J HERERA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225202526
- **Authorized official:** DR. DANIEL J HERERA M.D. (PRESIDENT)
- **Authorized official phone:** (201) 784-6012

## Contact information

- **Practice address:** 106 GRAND AVE, SUITE 220, ENGLEWOOD, NJ 07631-3574
- **Practice address phone:** (201) 850-3190
- **Practice address fax:** (201) 503-1901
- **Mailing address:** 59 CHURCH STREET, ALPINE, NJ 07620
- **Mailing address phone:** (201) 784-6012
- **Mailing address fax:** (201) 784-4087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA07569100 | NJ | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 07/07/2011