Provider Demographics
NPI:1619036738
Name:HERMANN, GEORGE ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ANDREW
Last Name:HERMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SADDLE RIVER COURT
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663
Mailing Address - Country:US
Mailing Address - Phone:201-291-1087
Mailing Address - Fax:201-368-2817
Practice Address - Street 1:212 PARK AVE
Practice Address - Street 2:SPINE AND HEALTHCARE CENTER OF THE PLAINFIELDS
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1206
Practice Address - Country:US
Practice Address - Phone:908-322-8300
Practice Address - Fax:908-322-8311
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA058630207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F42616Medicare UPIN
NJHG184264Medicare ID - Type Unspecified