Provider Demographics
NPI:1922082874
Name:SCHILLER, HERBERT MARVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:MARVIN
Last Name:SCHILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1100 GREENHILL RD
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-2102
Mailing Address - Country:US
Mailing Address - Phone:215-836-4550
Mailing Address - Fax:215-836-5595
Practice Address - Street 1:311 HAWS LN
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2139
Practice Address - Country:US
Practice Address - Phone:215-483-4300
Practice Address - Fax:215-836-5595
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 029412 L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C27201Medicare UPIN
SC16898Medicare ID - Type Unspecified