Dr RICHARD D HERZOG MD is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1975 from Creighton University School Of Medicine.
SQUARE CARE MEDICAL GROUP LLP
3629 BELL BLVD
BAYSIDE
NY
113612056
Tel: 7182245800
| Npi | 1770667180 |
| Pac Id | 8224072855 |
| Professional Enrollment Id | I20060323000174 |
| Last Name | HERZOG |
| First Name | RICHARD |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | SQUARE CARE MEDICAL GROUP LLP |
| Group Practice Pac Id | 7012938434 |
| Number Of Group Practice Members | 76 |
| Line 1 Street Address | 3629 BELL BLVD |
| Line 2 Street Address | |
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| City | BAYSIDE |
| State | NY |
| Zip Code | 113612056 |
| Phone Number | 7182245800 |
| Hospital Affiliation Ccn 1 | 330106 |
| Hospital Affiliation Lbn 1 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
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| Professional Accepts Medicare Assignment | Y |
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