Organization
FORMAN&HERTZ,M.D.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM M RAMOS (PRACTICE OFFICE MANAGER)
19733240988
Entity
Organization
Contact information
Practice address
1500 PLEASANT VALLEY WAY, SUITE 302, WEST ORANGE, NJ 07052-2956
(197) 332-4098
(197) 332-4106
Mailing address
1500 PLEASANT VALLEY WAY, SUITE 302, WEST ORANGE, NJ 07052-2956
(197) 332-4098
(197) 332-4106
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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