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Individual

DR. BRAD HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11-26 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5634
(201) 796-9200
(201) 796-7606
Mailing address
11-26 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5634
(201) 796-9200
(201) 796-7606

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
MA052652
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MA052652
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001446997001
UNITED HEALTHCARE
NJ
01
01092
EMPIRE BLUE CROSS
01
0K1969
HEALTHNET
NJ
01
221868199
TAX ID
NJ
01
376425
MVP
01
5051364
AETNA
NJ
01
578708
CROWN CORK AND SEAL
NJ
01
P1594582
OXFORD
NJ
Enumeration date
06/02/2005
Last updated
09/09/2008
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