Individual
DR. JOHN BENJAMIN HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BUL 3, BOSTON, MA 02114-2621
(617) 726-2993
(617) 724-8479
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-2993
(617) 643-2693
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049318
TUFTS HEALTH PLAN
MA
05
—
6171885
—
MA
01
—
J02586
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
11/14/2012
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