Individual
MR. JAY BERNARD HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
024103E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009518040003
—
PA
01
—
0450784
USHC
—
01
—
1013373
GATEWAY
—
01
—
4020832PPO
AETNA
—
01
—
450784HMO
AETNA
—
01
—
60570
THREE RIVERS
—
Enumeration date
07/21/2006
Last updated
03/24/2008
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