Charles A Herbstman, MD | |
0-100 28th Street, Fair Lawn, NJ 07410 | |
(201) 475-1300 | |
(201) 475-1709 |
Full Name | Charles A Herbstman |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 0-100 28th Street, Fair Lawn, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184659344 | NPI | - | NPPES |
138647TWJ | Other | NJ | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MA03531100 (New Jersey) | Primary |
Entity Name | Pennington Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396760963 PECOS PAC ID: 8729031869 Enrollment ID: O20050301000273 |
Entity Name | Radiology Associates Of Hackettstown Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407069925 PECOS PAC ID: 3779666565 Enrollment ID: O20080218000259 |
Entity Name | Mri Associates Of Hackettstown Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528394921 PECOS PAC ID: 0749320737 Enrollment ID: O20091223000326 |
Entity Name | Center For Advanced Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417598087 PECOS PAC ID: 2860824547 Enrollment ID: O20191119000470 |
Mailing Address | Practice Location Address |
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Charles A Herbstman, MD 0-100 28th Street, Fair Lawn, NJ 07410 Ph: (201) 475-1300 | Charles A Herbstman, MD 0-100 28th Street, Fair Lawn, NJ 07410 Ph: (201) 475-1300 |
Mr. Joel Cooperman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 19-04 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-794-3132 Fax: 201-794-6291 |