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Individual

DR. PHILIP HERTZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1498 SOUTHGATE AVE, SUITE 102, DALY CITY, CA 94015
(650) 755-4492
(650) 755-4466
Mailing address
1498 SOUTHGATE AVE, SUITE 102, DALY CITY, CA 94015
(650) 755-4492
(650) 755-4466

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G19222
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G192220
CA
Enumeration date
03/30/2006
Last updated
07/08/2007
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