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Individual
MARY E HERC
Active
Individual
MARY E HERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00943100
NJ
363A00000X
Physician Assistant
MA062334
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C07299
LICENSE
MD
Enumeration date
10/01/2018
Last updated
08/21/2025
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