Organization
DANIEL J HERERA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J HERERA M.D. (PRESIDENT)
(201) 784-6012
Entity
Organization
Contact information
Practice address
106 GRAND AVE, SUITE 220, ENGLEWOOD, NJ 07631-3574
(201) 850-3190
(201) 503-1901
Mailing address
59 CHURCH STREET, 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
Enumeration date
04/17/2008
Last updated
07/07/2011
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