Provider Demographics
NPI:1972557627
Name:HERBSTMAN, ROBERT A (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:HERBSTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:130 MAPLE AVENUE
Mailing Address - Street 2:BUILDING 9 SUITE B1
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-253-4404
Mailing Address - Fax:732-254-0703
Practice Address - Street 1:130 MAPLE AVE.,
Practice Address - Street 2:BUILDING 9 SUITE B1
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-352-1996
Practice Address - Fax:732-254-0703
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04367900208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C60086Medicare UPIN
013227Medicare ID - Type Unspecified