Individual
DR. RICHARD J HERZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8073
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102207925
VA
2085R0202X
Diagnostic Radiology Physician
05564
KY
2085R0202X
Diagnostic Radiology Physician
OS010442L
PA
208D00000X
General Practice Physician
OS010442L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001919365
—
PA
05
—
0019193650006
—
PA
05
—
2351119
—
OH
Enumeration date
01/26/2006
Last updated
10/25/2023
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