Individual
DR. DAVID BRANDEIS HERZOG
Active
Individual
DR. DAVID BRANDEIS HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
38347
MA
2084P0800X
Psychiatry Physician
Primary
38347
MA
2084P0804X
Child & Adolescent Psychiatry Physician
38347
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107433
—
MA
01
—
700650
TUFTS HEALTH PLAN
MA
01
—
M09907
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
08/12/2009
Update your record
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