Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP HERTZMAN, M.D.
Active Sole ProprietorDR. PHILLIP HERTZMAN, M.D. is a Adolescent Medicine healthcare provider located in LOS ALAMOS, New Mexico. NPI 1659463784 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LOS ALAMOS, NM
Registration Details
- NPI Number
- 1659463784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.897173807527 yrs)
- Last Updated
- Jul 8, 2007
- License
-
72-153 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3917 WEST RDSUITE 130LOS ALAMOS, NM, 875442275Browse NM providers · Browse ZIP 87544
- Phone
- 5056622900
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.