Individual
CHARLES K HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PLAZA CT, SUITE C, EAST STROUDSBURG, PA 18301-8258
(570) 420-6220
(570) 420-6221
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT - PROFESSIONAL BLDG., EAST STROUDSBURG, PA 18301-3006
(570) 420-4969
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD426379
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
223209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013761380001
—
PA
Enumeration date
03/24/2006
Last updated
07/11/2013
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