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David R. Hertzog, MD
Vascular & Interventional Radiology Physician in Philadelphia, Pennsylvania
NPI 1336188945

David R. Hertzog is a Vascular & Interventional Radiology Physician based in Boston, PA and is specialized in Vascular & Interventional Radiology. David R. Hertzog practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for David R. Hertzog is 1336188945 and holds a License No. MD027999E (Pennsylvania).

The current practice location address for David R. Hertzog is 2412 W Passyunk Ave, Philadelphia, PA and can be reached out via phone at 215-462-2100 and via fax at 215-462-3100.

Location: 2412 W Passyunk Ave, Philadelphia, PA, 02241-1407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336188945
Provider Name
David R. Hertzog
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2412 W Passyunk Ave, Philadelphia, PA, 02241-1407
Phone Number
215-462-2100
Fax Number
215-462-3100
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336188945 05 MO
0045155000 01 NJ AMERIHEALTH
0506464005 01 NJ CIGNA
3435709 05 NJ
36952 01 NJ AETNA
MES131 01 NJ OXFORD
institution
Provider Business Practice Location Address Details
Address
2412 W Passyunk Ave
City
Philadelphia
State
Pennsylvania
Zip
19145-4114
Phone Number
215-462-2100
Fax Number
215-462-3100
person
Provider Business Mailing Address Details
Address
2412 W Passyunk Ave
City
Philadelphia
State
Pennsylvania
Zip
19145-4114
Phone Number
215-462-2100
Fax Number
215-462-3100
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD027999E (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
MD027999E (Pennsylvania)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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