Individual
NORMAN A HETZLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3640 HIGH ST STE 1E, PORTSMOUTH, VA 23707-3213
(757) 398-2222
Mailing address
PO BOX 88, 5 E ALVON ROAD SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD03596SE
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101285915
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
46710
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TMP02476
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019049070001
—
PA
Enumeration date
07/31/2006
Last updated
08/21/2025
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