Individual
MR. HERMAN BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 AVENUE C, BAYONNE, NJ 07002-2439
(201) 437-2175
(201) 437-4449
Mailing address
78 AVENUE C, BAYONNE, NJ 07002-2439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01037000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070505
—
NJ
Enumeration date
04/01/2010
Last updated
04/01/2010
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