Individual provider · Type 1 NPI

Sara Lis Herzberg, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1831778638 Active

Practice location

183 S Orange Ave Ste F1560
Newark, NJ 07103-2757

Call (973) 972-3606 Map

Mailing address

1775 Ballard Rd
Park Ridge, IL 60068-1005

Other practice locations

  • 1775 Ballard Rd, Park Ridge, IL 60068-1005 · (847) 318-9340

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X125.078092 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831778638

Sara Lis Herzberg, MD's National Provider Identifier is 1831778638, issued on Apr 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 24, 2022.