Individual
STEPHEN HERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PROVIDENCE HOSPITAL, 1150 VARNUM ST NE, WASHINGTON, DC 20017
(202) 269-7000
Mailing address
4700 BERWYN HOUSE RD, SUITE 208, COLLEGE PARK, MD 20740-2474
(301) 220-0150
(301) 220-1032
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101027010
VA
2085R0202X
Diagnostic Radiology Physician
D0040988
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD18771
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7263864-1600080
—
VA
Enumeration date
07/21/2005
Last updated
11/01/2007
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