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Contact Information

JEFFREY A HERTZ, MD
79 WAWECUS ST
STE 105
NORWICH, CT06360
 Phone: 860-886-0161
 Fax: 860-889-5999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JEFFREY A HERTZ · (Male)

NPI # 1881623486
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 11/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 023601
  • CT Medicaid 001236017
  • Other 566780 AETNA
  • Other 0584458002 CIGNA
  • Other 732141 CONNECTICARE
  • Other NLS055 OXFORD
  • Other 181413 PREFERRED ONE
  • Other 0804876 UNITED HEALTHCARE
  • CT Other 010023601CT01 BCS
  • CT Other 031460 HEALTH NET
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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