Matthew John Hertz
Sports Medicine
1100 Fowler Ave
Berwick
, Pennsylvania 18603-2300
Matthew John Hertz
Sports Medicine
1100 Fowler Ave
Berwick
, Pennsylvania 18603-2300
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Matthew John Hertz
- 115 Woodbine Ln
- Danville, PA
- Zip : 17821-9118
- Phone :
Second Address
- Matthew John Hertz
- 1100 Fowler Ave
- Berwick, PA
- Zip : 18603-2300
- Phone : (570) 759-6400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | RT006336 | PA |
| Y | 213ES0000X | Sports Medicine | RT006336 | PA |
National Provider Identifier
| NPI | 1205340064 |
|---|---|
| Provider Name | Matthew John Hertz |
| First Address | Danville, PA 17821-9118 |
| Second Address | Berwick, PA 18603-2300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2017 |
| Last Update Date | 30/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.