Individual
DR. DAVID B. HERLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2290
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
227077-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD033834E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019221460001
—
PA
05
—
02332850
—
NY
01
—
330005916
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039807
MEDICARE GROUP
PA
01
—
P00213069
RR MEDICARE PIN
NY
Enumeration date
03/06/2006
Last updated
07/10/2012
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