Herman, Glenn

Herman, Glenn is an individual health care provider with primary practice located at 100 Bowman Dr , Voorhees NJ 08043-9612. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Herman, Glenn can be contacted via phone (856) 247-3328.

Contact Information

Primary practice address
100 Bowman Dr Voorhees NJ 08043-9612
Phone: (856) 247-3328
Fax: (856) 247-3276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA04033300 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 25MA04033300 New Jersey

Profile Details

NPI number 1790727857
LBN Legal business name Herman, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790727857 NPPES
New Jersey Other 271348772 TAX ID
New Jersey Other 2K9098 TAX ID
New Jersey Other 221494442 TAX ID
New Jersey Other 60028477 TAX ID
New Jersey Other 8219768 TAX ID
New Jersey Other 0075851000 TAX ID
New Jersey Other 3422508 TAX ID
New Jersey Other P3226875 TAX ID
New Jersey Other 22280 TAX ID
New Jersey Other 4234565 TAX ID

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