Provider Demographics
NPI:1952381188
Name:HERSHMAN, MATTHEW REED (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:REED
Last Name:HERSHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 N MAIN ST
Mailing Address - Street 2:STE B2
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-1475
Mailing Address - Country:US
Mailing Address - Phone:856-340-8867
Mailing Address - Fax:
Practice Address - Street 1:375 N MAIN ST
Practice Address - Street 2:SUITE B2
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1481
Practice Address - Country:US
Practice Address - Phone:856-728-0770
Practice Address - Fax:856-875-5833
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00634100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V04455Medicare UPIN
NJ245081Medicare PIN
089520Medicare ID - Type Unspecified