Individual
DANIEL J HERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 GRAND AVE, SUITE 220, ENGLEWOOD, NJ 07631-3574
(201) 503-1900
(201) 503-1901
Mailing address
59 CHURCH ST., ALPINE, NJ 07620
(201) 784-6012
(201) 784-4087
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07569100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0465J1
EMPIRE HC (HP) #
NJ
01
—
0465J2
EMPIRE HC (TE) #
NJ
01
—
0465J3
EMPIRE HC (NV) #
NJ
01
—
2836424000
AMERIHEALTH #
NJ
01
—
2K7331
HEALTHNET#
NJ
01
—
3349241
AETNA/USHC#
NJ
01
—
7757464
AETNA#
NJ
01
—
P00040428
RAILROAD MDCR #
NJ
01
—
P3005063
OXFORD#
NJ
Enumeration date
08/11/2005
Last updated
07/07/2011
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