Provider Demographics
NPI:1780614537
Name:MAIER, HERBERT SIMON (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:SIMON
Last Name:MAIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:220 HAMBURG TPKE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2110
Mailing Address - Country:US
Mailing Address - Phone:973-595-6338
Mailing Address - Fax:973-595-9446
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:SUITE 22
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-595-6338
Practice Address - Fax:973-595-9446
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ025029207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology