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Individual

DR. HERVEY SILAS SICHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1777 HAMBURG TPKE, SUITE 301, WAYNE, NJ 07470
(973) 839-5700
(973) 616-4343
Mailing address
1777 HAMBURG TPKE, SUITE 301, WAYNE, NJ 07470
(973) 839-5700
(973) 616-4343

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA02593900
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
MA025939
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0504225
AETNA
NJ
01
077148403
CIGNA
NJ
01
0K0489
HEALTHNET
NJ
01
10316586
MAGNACARE
NJ
01
1074689
HORIZON
NJ
01
110340
BEECHSTREET
NJ
01
20019245
RAILROAD MEDICARE
NJ
01
22011051
ECS
NJ
01
223338995
TAX ID
01
4159
LOCAL 825
NJ
01
578951
EMPIRE
NJ
01
71602001
ONE HEALTH PLAN
NJ
01
746693
FIRST HEALTH
NJ
01
9661480
GHI
NJ
05
967203
NJ
01
PS166
OXFORD
NJ
Enumeration date
09/21/2006
Last updated
04/28/2010
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