# DR. DAVID R. HERTZOG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336188945
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | MD027999E | PA | Yes |
| 208600000X | Surgery Physician | MD027999E | PA | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 09/24/2026