Provider Demographics
NPI:1649566050
Name:ZIGERMAN, HERBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:ZIGERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 EASTON RD.
Mailing Address - Street 2:APT. 406
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2019
Mailing Address - Country:US
Mailing Address - Phone:215-659-2567
Mailing Address - Fax:215-659-2567
Practice Address - Street 1:1003 EASTON RD
Practice Address - Street 2:APT. 406
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2027
Practice Address - Country:US
Practice Address - Phone:215-659-2567
Practice Address - Fax:215-659-2567
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS000497L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine