Individual
DR. JAMES H HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBA
Contact information
Practice address
55 FRUIT ST, YAW 3, BOSTON, MA 02114-2621
(617) 726-8530
(617) 726-3124
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30047
MA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
30047
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030047
TUFTS HEALTH PLAN
MA
05
—
6156002
—
MA
01
—
J18482
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
07/20/2012
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