Individual
MR. VINCENT PAUL HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
306 US ROUTE 1, SCARBOROUGH, ME 04074-7640
(207) 883-3434
(207) 883-1424
Mailing address
306 US ROUTE 1, SCARBOROUGH, ME 04074-7640
(207) 883-3434
(207) 883-1424
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1432
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178380099
—
ME
Enumeration date
08/03/2005
Last updated
12/12/2012
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