Provider Demographics
NPI:1164641254
Name:MARX, HERBERT JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:JOHN
Last Name:MARX
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 1:1 ATWELL RD
Mailing Address - Street 2:MARY IMOGENE BASSETT HOSPITAL, RESEARCH INSTITUTE
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1301
Mailing Address - Country:US
Mailing Address - Phone:607-547-4745
Mailing Address - Fax:607-547-6861
Practice Address - Street 1:1 ATWELL RD
Practice Address - Street 2:MARY IMOGENE BASSETT HOSPITAL, RESEARCH INSTITUTE
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1301
Practice Address - Country:US
Practice Address - Phone:607-547-4745
Practice Address - Fax:607-547-6861
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086401207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease