Individual
DR. JONATHAN S HERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
198 HIGH ST, CARIBOU, ME 04736-1836
(855) 927-7246
Mailing address
198 HIGH ST, CARIBOU, ME 04736-1836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015192
ME
174400000X
Specialist
ME115644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039403
ANTHEM BCBS
ME
05
—
155430000
—
ME
01
—
7014011
AETNA
ME
01
—
720000129
RAILROAD MEDICARE
ME
01
—
G88039
HARVARD PILGRIM
ME
Enumeration date
05/19/2006
Last updated
02/19/2018
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