Hertzman, Marc

Hertzman, Marc is an sole proprietor health care provider with primary practice located at 11404 Old Georgetown Rd Ste 203, Rockville MD 20852-2876. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hertzman, Marc can be contacted via phone (301) 984-8800.

Contact Information

Primary practice address
11404 Old Georgetown Rd Ste 203 Rockville MD 20852-2876
Fax: (301) 984-8802
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0016115 Maryland

Profile Details

NPI number 1689676801
LBN Legal business name Hertzman, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Oct 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689676801 NPPES
Maryland Other 0H18 BCBS
Maryland MEDICAID 0087611 BCBS
Maryland Other 23880001 BCBS
Maryland Other 325227 BCBS

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