| Dr Edward Isaac Herman, MD, PHD | |
|
2800 Main St, Bridgeport, CT 06606-4201 | |
| (203) 576-6000 | |
| Not Available |
| Full Name | Dr Edward Isaac Herman |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144752338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 286271 (Massachusetts) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Dermatology Physicians Pc | 4789767104 | 12 |
| Entity Name | South Shore Dermatology Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992988703 PECOS PAC ID: 4789767104 Enrollment ID: O20080208000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Isaac Herman, MD, PHD 2800 Main St, Level 3, St. Vincents Medical Center, Med. Education, Bridgeport, CT 06606-4201 Ph: () - | Dr Edward Isaac Herman, MD, PHD 2800 Main St, Bridgeport, CT 06606-4201 Ph: (203) 576-6000 |
Dr. Kenneth Joseph Maiocco, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 4639 Main St, Bridgeport, CT 06606 Phone: 203-374-5546 Fax: 203-371-4056 | |
Joseph Raymond Pesce, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Suite 212, Bridgeport, CT 06606 Phone: 203-372-8949 Fax: 203-374-9296 | |
Dr. Katherine Jane Pesce, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Suite 212, Bridgeport, CT 06606 Phone: 203-372-8949 Fax: 203-372-9296 |