Individual provider · Type 1 NPI
David R. Hertzog, MD
Vascular & Interventional Radiology Physician · Philadelphia, PA
NPI number
1336188945
Active
Practice location
2412 W Passyunk Ave Ste 14
Philadelphia, PA 19145-4114
Fax (215) 462-3100
Mailing address
PO Box 416210
Boston, MA 02241-1407
Other practice locations
- 7959 Bustleton Ave, Philadelphia, PA 19152-3320 · (215) 742-5662
- 25 Crossroads Dr Ste 110, Owings Mills, MD 21117-5444 · (410) 363-2192
- 8140 Corporate Dr Ste 125, Baltimore, MD 21236-6901 · (410) 931-9729
- 2080 Marlton Pike E, Cherry Hill, NJ 08003-1202 · (856) 616-8600
- 2235 Staples Mill Rd Ste 104, Richmond, VA 23230-2942 · (804) 355-9729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | MD027999E (PA) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | MD027999E (PA) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3 other providers at this address
- American Access Care of SP Asc LLCAmbulatory Surgical Clinic/Center Philadelphia, PA NPI 1790237501
- American Access Care of SP LLCVascular & Interventional Radiology Physician Philadelphia, PA NPI 1588639819
- Louis Domenico Jr., MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1942380902
Other vascular & interventional radiology physician providers in Philadelphia
- Aaron Opher Shiloh, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1003886896
- Cormac Farrelly, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1033420179
- Noor Ahmad, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1073741468
- Neil Harrison, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1093133530
- Robert Deciucis Adamo, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1093922528
- Shane Lee, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1104067651
- Stephen James Hunt, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1114152238
- S. William Stavropoulos, MDVascular & Interventional Radiology Physician Philadelphia, PA NPI 1134164155
About NPI 1336188945
David R. Hertzog, MD's National Provider Identifier is 1336188945, issued on Jun 6, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 24, 2026.