Individual
DR. MARY CATHERINE HERTL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CUMMINGS CTR, STE 216T, BEVERLY, MA 01915-6225
(978) 969-2081
(978) 969-2084
Mailing address
5 ESSEX GREEN DR, STE 36, PEABODY, MA 01960-2921
(978) 969-2081
(978) 969-2084
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
212487
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183466
—
MA
01
—
212487
TUFTS HEALTH PLAN
MA
01
—
J25485
BCBS MA
MA
Enumeration date
03/07/2006
Last updated
07/26/2016
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