Provider Demographics
NPI:1568429272
Name:HERSCOVICI, SORIN CANTARAGIU (MD)
Entity Type:Individual
Prefix:
First Name:SORIN
Middle Name:CANTARAGIU
Last Name:HERSCOVICI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SORIN
Other - Middle Name:CANTARAGIU
Other - Last Name:HERSCOVICI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0040
Mailing Address - Country:US
Mailing Address - Phone:508-909-7799
Mailing Address - Fax:508-909-7750
Practice Address - Street 1:198 CHARLTON RD
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1571
Practice Address - Country:US
Practice Address - Phone:508-347-7585
Practice Address - Fax:508-347-7538
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76266207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism