Individual
ANDREW R HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-6777
Mailing address
PO BOX 6279, BRIDGEPORT, CT 06606-0279
(203) 372-6777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
026379
CT
Other
Enumeration date
11/01/2006
Last updated
11/22/2013
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