Individual
JAIME OMAR HERRERA CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2100
Mailing address
1939 N 2ND ST APT 2, HARRISBURG, PA 17102-2155
(646) 975-1496
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
311370
NY
208800000X
Urology Physician
LT000895
PA
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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