Hertl, Mary Catherine

Hertl, Mary Catherine is an individual health care provider with primary practice located at 900 Cummings Ctr Ste 216T, Beverly MA 01915-6225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Hertl, Mary Catherine can be contacted via phone (978) 969-2081.

Contact Information

Primary practice address
900 Cummings Ctr Ste 216T Beverly MA 01915-6225
Phone: (978) 969-2081
Fax: (978) 969-2084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 212487 Massachusetts

Profile Details

NPI number 1386611630
LBN Legal business name Hertl, Mary Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386611630 NPPES
Massachusetts MEDICAID 0183466
Massachusetts Other 212487
Massachusetts Other J25485

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