Provider Demographics
NPI:1770549560
Name:HERZIG, DAWN V (DO)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:V
Last Name:HERZIG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1835 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5835
Mailing Address - Country:US
Mailing Address - Phone:412-288-0885
Mailing Address - Fax:412-281-1926
Practice Address - Street 1:1835 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5835
Practice Address - Country:US
Practice Address - Phone:412-288-0885
Practice Address - Fax:412-281-1926
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAS010191L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018392730002Medicaid
PA0018392730002Medicaid
PA045173FH9Medicare PIN