Individual
MARY E HERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1945 STATE ROUTE 33 FL 4, NEPTUNE, NJ 07753-4859
(732) 776-4949
(732) 776-4509
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00943100
NJ
363A00000X
Physician Assistant
MA062334
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C07299
LICENSE
MD
Enumeration date
10/01/2018
Last updated
08/21/2025
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