Individual
PAUL F HERGENROEDER
Active
Individual
PAUL F HERGENROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.087486
OH
207RH0003X
Hematology & Oncology Physician
35.087486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159
BLUE CROSS
PA
05
—
1010757980001
—
PA
01
—
140052
PA GROUP
PA
Enumeration date
06/21/2005
Last updated
06/26/2019
Update your record
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