Individual
MICHAEL I HERZLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8306
(401) 444-8748
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8306
(401) 444-8748
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD13663
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13663
LICENSE
RI
Enumeration date
06/26/2008
Last updated
06/27/2014
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