Provider Demographics
NPI:1598931891
Name:HERZBERG, HARRIET E (OD)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:E
Last Name:HERZBERG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CHAYA
Other - Middle Name:
Other - Last Name:HERZBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:601 EWING STREET
Mailing Address - Street 2:SUITE A-15
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-924-3567
Mailing Address - Fax:609-924-2852
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:SUITE A-15
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2757
Practice Address - Country:US
Practice Address - Phone:609-924-3567
Practice Address - Fax:609-924-2852
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00489400152WP0200X
NJ27OA489400152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics