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
Phone: (301) 984-8800
Fax: (301) 984-8802
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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