Provider Demographics
NPI:1568429272
Name:HERSCOVICI, SORIN CANTARAGIU (MD)
Entity type:Individual
Prefix:
First Name:SORIN
Middle Name:CANTARAGIU
Last Name:HERSCOVICI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SORIN
Other - Middle Name:CANTARAGIU
Other - Last Name:HERSCOVICI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:451 JUNCTION RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2656
Practice Address - Country:US
Practice Address - Phone:608-263-5010
Practice Address - Fax:608-265-7519
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI102310-875207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism