Individual
MAXWELL HERSZAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 WARREN ST APT 206, JERSEY CITY, NJ 07302-3727
(614) 561-3721
Mailing address
255 WARREN ST APT 206, JERSEY CITY, NJ 07302-3727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02977901
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
04/15/2026
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