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Individual

SCOTT MICHAEL HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C , MHP

Contact information

Practice address
330 BROOKLINE AVE, BETH ISRAEL DECONESS MED CTR, BOSTON, MD 02215-2215
(617) 632-8069
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DECONESS MED CTR, BOSTON, MA 02215-2215
(617) 632-8069

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
111
MA

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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