Provider Demographics
NPI:1306829627
Name:HERZ, SYLVIA K (MD)
Entity Type:Individual
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First Name:SYLVIA
Middle Name:K
Last Name:HERZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:85 E CONCORD ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2335
Mailing Address - Country:US
Mailing Address - Phone:617-414-5192
Mailing Address - Fax:617-414-7300
Practice Address - Street 1:850 HARRISON AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4072
Practice Address - Country:US
Practice Address - Phone:617-414-4893
Practice Address - Fax:617-414-7212
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-08-14
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Provider Licenses
StateLicense IDTaxonomies
MA49691207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3176070Medicaid
MAB96418Medicare UPIN
MA3176070Medicaid