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Individual

DR. MARC HERTZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11404 OLD GEORGETOWN RD, STE 203, ROCKVILLE, MD 20852-2876
(301) 984-8800
(301) 984-8802
Mailing address
11404 OLD GEORGETOWN RD, STE 203, ROCKVILLE, MD 20852-2876
(301) 984-8800
(301) 984-8802

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0016115
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087611
MD
01
0H18
BCBS
MD
01
23880001
BCBS
DC
01
325227
MDIPA
MD
Enumeration date
06/01/2005
Last updated
10/06/2011
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