Provider Demographics
NPI:1427018886
Name:HERRMANN, MARILLE E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILLE
Middle Name:E
Last Name:HERRMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 LAMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1625
Mailing Address - Country:US
Mailing Address - Phone:301-681-5156
Mailing Address - Fax:301-681-5156
Practice Address - Street 1:507 LAMBERTON DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-1625
Practice Address - Country:US
Practice Address - Phone:301-681-5156
Practice Address - Fax:301-681-5156
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060627207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology