Individual
MR. HERMAN L. EASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5800 RIDGE AVE, ROXBOROUGH HOSPITAL - SUITE 234, PHILADELPHIA, PA 19128-1737
(215) 487-4540
(215) 487-4544
Mailing address
1509 VERNON RD, BLUE BELL, PA 19422-3525
(215) 327-1127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-003085-L
PA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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