Individual
DR. ROBERT W. HERPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8TH AT RACE ST, TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE, PHILADELPHIA, PA 19107-2496
(215) 625-5215
(215) 625-9837
Mailing address
8TH AT RACE ST, TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE, PHILADELPHIA, PA 19107-2496
(215) 625-5215
(215) 625-9837
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC 002238 L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC02238L
PA
213ES0131X
Foot Surgery Podiatrist
SC02238L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000155834
HIGHMARK BLUE SHIELD
PA
05
—
0008776180001
—
PA
01
—
0060717000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
10/12/2006
Last updated
07/07/2010
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