Individual
ERICA LYNDRUP HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, WINCHESTER CHEST CLINIC - FITKIN BUILDING - 2ND FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 785-3826
Mailing address
300 GEORGE STREET, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
039625
CT
207RP1001X
Pulmonary Disease Physician
Primary
039625
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396250
—
CT
Enumeration date
11/22/2005
Last updated
07/07/2008
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