Provider Demographics
NPI:1972692465
Name:HERPEN ASSOCIATES
Entity Type:Organization
Organization Name:HERPEN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:HERPEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-755-5433
Mailing Address - Street 1:1947 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-2604
Mailing Address - Country:US
Mailing Address - Phone:215-755-5433
Mailing Address - Fax:215-755-6016
Practice Address - Street 1:1947 S 3RD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-2604
Practice Address - Country:US
Practice Address - Phone:215-755-5433
Practice Address - Fax:215-755-6016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC 002238 L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA414072OtherHIGHMARK BLUE SHIELD
PA0098638000OtherINDEPENDENCE BLUE CROSS
PA414072Medicare ID - Type Unspecified