Individual
DR. JAY H. HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S. 10TH STREET, SUITE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
(215) 503-4817
Mailing address
132 S. 10TH STREET, SUITE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
(215) 503-4817
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
MD035898E
PA
207ZC0006X
Clinical Pathology Physician
MD035898E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001269752
—
PA
05
—
5444209
—
NJ
Enumeration date
07/27/2006
Last updated
04/13/2012
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