NPI 1144752338 · live from the CMS NPI Registry
Edward Isaac Herman, M.D., Ph.D.
Dermatology in Bridgeport, CT. National Provider Identifier 1144752338, active.
NPI record
| NPI | 1144752338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2800 Main St, Bridgeport, CT 06606 |
| Practice phone | 203-576-6000 |
| Mailing address | 2800 Main St, Level 3, St. Vincents Medical Center, Med. Education, Bridgeport, CT 06606 |
| Enumerated | March 28, 2017 |
| Last updated | June 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 286271 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.