Provider Demographics
NPI:1902957723
Name:HERSHKIN, PAIGE B (DO)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:B
Last Name:HERSHKIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 ST GEORGES AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065
Mailing Address - Country:US
Mailing Address - Phone:732-382-7473
Mailing Address - Fax:732-382-9045
Practice Address - Street 1:1530 ST GEORGES AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065
Practice Address - Country:US
Practice Address - Phone:732-382-7473
Practice Address - Fax:732-382-9045
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB72746207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7059127OtherCIGNA
418A52OtherEMPIRE HEALTHCARE
HEALTHNETOther2K0160
2070428000OtherAMERIHEALTH
OXFORDOtherP2548881
7559269OtherAETNA
HEALTHNETOther2K0160
OXFORDOtherP2548881