Marylynn Broderick Herchline
MD | Pediatric Adolescent Medicine | Female
Marylynn Broderick Herchline, MD is a Dayton, Ohio based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Marylynn Broderick Herchline is
9000 North Main Street, Suite 332, Dayton, Ohio - 45415-1185. She can be contacted on phone at
937-832-7337 and fax number 937-832-4817.
Marylynn Broderick Herchline is a sole proprietor of her business.
NPI number (Unique professional ID) for Marylynn Broderick Herchline is
1295811412 which was assigned by NPPES on 31 Oct, 2006 and it was last updated on 08 Jul, 2007.
Marylynn Broderick Herchline license number is
35057027 for Pediatrics Adolescent Medicine (2080A0000X) in Ohio.
Marylynn Broderick Herchline 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.
Complete Profile:
Marylynn Broderick Herchline basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Marylynn Broderick Herchline |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Marylynn Broderick Herchline address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 North Main Street, Suite 332
Dayton, OH, 45415-1185
United States |
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| Phone Number : | 937-832-7337 |
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| Fax Number : | 937-832-4817 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295811412 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marylynn Broderick Herchline are as mentioned. Primary taxonomy code for Marylynn Broderick Herchline, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 35057027 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Marylynn Broderick Herchline such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000037311 | Other | | BLUE CROSS BLUE SHIELD |
| 0709602 | Other | | BUREAU FOR CHILDREN WITH |
| 311627276032 | Other | | CARESOURCE |
| 1220651 | Other | | UNITED HEALTHCARE |
| 0709602 | MEDICAID | OH | |
| 1220651 | Other | | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 North Main Street, Suite 332
Dayton, OH, 45415-1185
United States |
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| Phone Number : | 937-832-7337 |
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| Fax Number : | 937-832-4817 |
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Business Location:
Patients can refer following map for directions to
Marylynn Broderick Herchline practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.