Individual
JEFFREY A HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
023601
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001236017
—
CT
01
—
010023601CT01
BCS
CT
01
—
031460
HEALTH NET
CT
01
—
0584458002
CIGNA
—
01
—
0804876
UNITED HEALTHCARE
—
01
—
181413
PREFERRED ONE
—
01
—
566780
AETNA
—
01
—
732141
CONNECTICARE
—
01
—
NLS055
OXFORD
—
Enumeration date
07/03/2006
Last updated
11/12/2009
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