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Individual

GLENN HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA04033300
NJ
207VX0000X
Obstetrics Physician
Primary
25MA04033300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0075851000
AMERIHEALTH #
NJ
01
221494442
TAX ID #
NJ
01
22280
AMERIGROUP #
NJ
01
271348772
TAX ID
NJ
01
2K9098
HEALTHNET #
NJ
01
3422508
AETNA HMO #
NJ
01
4234565
AETNA PPO #
NJ
01
60028477
HORIZON NJ HEALTH #
NJ
01
8219768
GHI PPO
NJ
01
P3226875
OXFORD #
NJ
Enumeration date
06/12/2006
Last updated
03/29/2012
Update your record

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