Marylynn Broderick Herchline in Dayton - Adolescent Medicine
Marylynn Broderick Herchline - NPI 1295811412
Marylynn Broderick Herchline is a Adolescent Medicine in Dayton, Ohio. Marylynn Broderick Herchline practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Marylynn Broderick Herchline is 1295811412. The last update date is 2007-07-08.
Marylynn Broderick Herchline's current location address is 9000 North Main Street, Dayton, Ohio. You can contact this provider via phone number 9378327337 and fax number 9378324817. The mailing address for Marylynn Broderick Herchline is 9000 North Main Street, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marylynn Broderick Herchline |
|---|---|
| Address | 9000 North Main Street, Dayton, Ohio |
| Phone Number | 9378327337 |
| Fax Number | 9378324817 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295811412 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9000 North Main Street |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454151185 |
| Phone Number | 9378327337 |
| Fax Number | 9378324817 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 35057027 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1220651 | UNITED HEALTHCARE | ||
| 709602 | BUREAU FOR CHILDREN WITH | ||
| 311627276032 | CARESOURCE | ||
| 709602 | OH | -- | |
| 1220651 | AETNA | ||
| 37311 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Marylynn Broderick Herchline by the Centers for Medicare & Medicaid Services?
The Marylynn Broderick Herchline has been issued the NPI (National Provider Identifier) 1295811412. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Marylynn Broderick Herchline is geographically located?
The Marylynn Broderick Herchline is physically situated at the following location: 9000 North Main Street, Dayton, OH, 454151185.
What is the Marylynn Broderick Herchline's area of specialization and corresponding taxonomy classification?
The Marylynn Broderick Herchline's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Marylynn Broderick Herchline receive its 1295811412 assignment from the Centers for Medicare & Medicaid Services?
The Marylynn Broderick Herchline was assigned its 1295811412 by the Centers for Medicare & Medicaid Services on 2006-10-31.
When was the information regarding Marylynn Broderick Herchline most recently updated?
The details pertaining to the Marylynn Broderick Herchline, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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