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DR. MARC HERTZMAN M.D. NPI 1689676801


NPI Information

NPI: 1689676801
Provider Name: DR. MARC HERTZMAN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
11404 OLD GEORGETOWN RD
STE 203
ROCKVILLE, MD
ZIP 20852
Phone: (301) 984-8800
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DR. Marc Hertzman, M.D. is a specialist in Rockville, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Marc Hertzman, M.D. NPI is 1689676801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11404 OLD GEORGETOWN RD
STE 203
ROCKVILLE, MD
ZIP 20852-876
Phone: (301) 984-8800
Fax: (301) 984-8802

The enumeration date for this NPI number is 6/1/2005 and was last updated on 10/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD0016115MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10087611MEDICAIDMARYLAND
223880001OTHERDISTRICT OF COLUMBIABCBS
3B92724MEDICARE UPINMARYLAND
4003311MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
5325227OTHERMARYLANDMDIPA
60H18OTHERMARYLANDBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.