Provider Demographics
NPI:1043251598
Name:MARKLEY, HERBERT (MD)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:
Last Name:MARKLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BROOKS STATION RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MA
Mailing Address - Zip Code:01541-1803
Mailing Address - Country:US
Mailing Address - Phone:508-890-5633
Mailing Address - Fax:
Practice Address - Street 1:85 PRESCOTT ST STE 101
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2610
Practice Address - Country:US
Practice Address - Phone:508-890-5633
Practice Address - Fax:508-890-1125
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA510102084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11406OtherHARVARD PILGRIM
MA18781OtherNEALTH NEW ENGLAND
MA2083264Medicaid
MA713815OtherTUFTS
MAJ02169OtherBCBS
MA2083264Medicaid
MAM21051Medicare ID - Type UnspecifiedGROUP