1952381188 NPI number — DR. MATTHEW REED HERSHMAN D.C.

Table of content: DR. MATTHEW REED HERSHMAN D.C. (NPI 1952381188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952381188 NPI number — DR. MATTHEW REED HERSHMAN D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERSHMAN
Provider First Name:
MATTHEW
Provider Middle Name:
REED
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952381188
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/14/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
375 N MAIN ST
Provider Second Line Business Mailing Address:
STE B2
Provider Business Mailing Address City Name:
WILLIAMSTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08094-1475
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-340-8867
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
375 N MAIN ST
Provider Second Line Business Practice Location Address:
SUITE B2
Provider Business Practice Location Address City Name:
WILLIAMSTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08094-1481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-728-0770
Provider Business Practice Location Address Fax Number:
856-875-5833
Provider Enumeration Date:
01/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00634100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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