Provider Demographics
NPI:1508882218
Name:HERLING, PATTI J (MD)
Entity Type:Individual
Prefix:DR
First Name:PATTI
Middle Name:J
Last Name:HERLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 W SHERMAN AVE
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6912
Mailing Address - Country:US
Mailing Address - Phone:856-641-7937
Mailing Address - Fax:856-641-7681
Practice Address - Street 1:1505 W SHERMAN AVE
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6912
Practice Address - Country:US
Practice Address - Phone:856-641-7937
Practice Address - Fax:856-641-7681
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021717E207R00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7023502Medicaid
NJ60033497OtherBCBS/NJ
NJ60033497OtherBCBS/NJ
NJ7023502Medicaid