MEDICARE: JOHN E HERRING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0030414	MD

General Provider Information

NPI Number	:	1710975040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E HERRING MD

Provider Business Mailing Address
First Line	:	1300 PICCARD DR
Second Line	:	SUITE 202
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-4303
Country	:	US
Telephone Number	:	310-921-7900
Fax Number	:	301-921-7915

Provider Business Practice Location Address
First Line	:	18101 PRINCE PHILIP DR
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20832-1514
Country	:	US
Telephone Number	:	301-774-8900
Fax Number	:	301-570-8574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	07/08/2007

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