Dr. Keith D Herzog
MD | Pediatrics | Male
Dr. Keith D Herzog, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Keith D Herzog is
3601 A St, Philadelphia, Pennsylvania - 19134-1043. He can be contacted on phone at
215-427-6827 and fax number 215-427-5371.
Dr. Keith D Herzog is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Keith D Herzog is
1609800184 which was assigned by NPPES on 10 Jul, 2006 and it was last updated on 26 Mar, 2014.
Dr. Keith D Herzog license number is
MD038603E for Pediatrics (208000000X) in Pennsylvania.
Dr. Keith D Herzog is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Keith D Herzog basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Keith D Herzog |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Keith D Herzog address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3601 A St
Philadelphia, PA, 19134-1043
United States |
|---|
| Phone Number : | 215-427-6827 |
|---|
| Fax Number : | 215-427-5371 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609800184 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 10 Jul, 2006 |
|---|
| Last Updated On : | 26 Mar, 2014 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith D Herzog are as mentioned. Primary taxonomy code for Dr. Keith D Herzog, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | No | MD038603E | PA |
| 208000000X | Pediatrics | Yes | MD038603E | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Keith D Herzog such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001243961-0008 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3601 A St., 1-102
Philadelphia, PA, 19134-1095
United States |
|---|
| Phone Number : | 215-427-6827 |
|---|
| Fax Number : | 215-427-5371 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Keith D Herzog practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.