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Organization

PAUL D HIERHOLZER DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL DANIEL HIERHOLZER DO (OWNER)
(609) 653-2101
Entity
Organization

Contact information

Practice address
750 SHORE RD, SOMERS POINT, NJ 08244-2363
(609) 653-2101
Mailing address
750 SHORE RD, SOMERS POINT, NJ 08244-2363
(609) 653-2101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB059402
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0080947001
KEYSTONE
NJ
01
1078435
HORIZON MERCY
NJ
01
110180785
RAILROAD MEDICARE
NJ
01
16846
UNIVERSITY HEALTH PLANS
NJ
01
374375
PABS (GROUP)
NJ
05
5565804
NJ
Enumeration date
08/04/2006
Last updated
05/23/2012
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