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Organization

MEDICAL MULTISPECIALTY ASSOCIATION PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAD HERMAN M.D. (PHYSICIAN)
(201) 796-9200
Entity
Organization

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
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207RR0500X
Rheumatology Physician
213E00000X
Podiatrist
25MD00298000
NJ
363A00000X
Physician Assistant
25MP001995
NJ

Other

Enumeration date
05/22/2007
Last updated
02/12/2015
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