Individual
WILLIAM R HERZOG JR.
Active
Individual
WILLIAM R HERZOG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D41959
MD
207RI0011X
Interventional Cardiology Physician
Primary
D41959
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061936
AETNA
MD
01
—
523202-06
CAREFIRST OF MARYLAND
MD
05
—
543951500
—
MD
01
—
P00963606
RAILROAD MEDICARE
MD
01
—
V879-0001
CAREFIRST GHMSI AND BLUE CHOICE
MD
Enumeration date
03/08/2006
Last updated
02/10/2017
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