Organization
DRS HERTZ AND IDOL DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL S HERTZ D.P.M. (PARTNER)
(301) 934-3345
Entity
Organization
Contact information
Practice address
515 CHARLES ST, LAPLATA, MD 20646-1320
(301) 934-3345
Mailing address
PO BOX 59714, POTOMAC, MD 20859-9714
(301) 934-3345
(301) 934-3345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00403
MD
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602128000
—
MD
Enumeration date
08/06/2006
Last updated
12/14/2009
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