Kenneth L Herman D.O.

NPI 1013998756 - Dermatology - 207N00000X

NPI Details
NPI 1013998756
Gender Male
Enumeration Date 11/09/2005
Last Updated 07/11/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
17 W RED BANK AVE
SUITE 205
WOODBURY NJ, 08096-1630, US
Phone (856) 853-0900
Fax (856) 853-5838
Business Location
17 W RED BANK AVE
SUITE 205
WOODBURY NJ, 08096-1630, US
Phone (856) 853-0900
Fax (856) 853-5838
Toxanomy
Taxonomy Code 207N00000X
License State New Jersey
License Number 25MB0479100
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According to our database, Dr. Kenneth L Herman D.O. NPI is 1013998756, taxonomy code is 207N00000X and license number is 25MB0479100, license state is located at New Jersey. Kenneth L Herman D.O. physically located at 17 W Red Bank Ave, Woodbury NJ, 08096-1630. NPI Number Kenneth L Herman D.O. has the Individual type.

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1013998756 NPI number is provided on an as is basis without warranty of any kind. 1013998756 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Herman D.O. are for informational purposes only.