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Individual

DR. JAMES P HERBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7133 NITTANY VALLEY DR, MILL HALL, PA 17751-9013
(570) 726-7992
(570) 726-6554
Mailing address
2475 UPPER BRUSH VALLEY ROAD, CENTRE HALL, PA 16828-9207

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD005834E
PA
207Q00000X
Family Medicine Physician
Primary
MD005834E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009475640002
PA
01
680034
BLUE SHIELD
Enumeration date
08/14/2006
Last updated
05/08/2008
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