Individual
DR. NILS G HERDELIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 KINGS HWY S, CHERRY HILL, NJ 08034-2511
(856) 428-5488
(856) 428-6716
Mailing address
400 KINGS HWY S, CHERRY HILL, NJ 08034-2511
(856) 428-5488
(856) 428-6716
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MA20517
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2708400-2
—
NJ
Enumeration date
08/12/2005
Last updated
08/08/2014
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