Provider Demographics
NPI:1992740385
Name:HERRIGHTY, MARIANNE K (MD)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:K
Last Name:HERRIGHTY
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 1:227 LAUREL RD
Mailing Address - Street 2:300
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-8303
Mailing Address - Country:US
Mailing Address - Phone:856-669-6050
Mailing Address - Fax:856-344-0572
Practice Address - Street 1:338 BELLEVILLE TPKE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3840
Practice Address - Country:US
Practice Address - Phone:201-991-3838
Practice Address - Fax:201-998-4643
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64709207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP01091537OtherRAILROAD MEDICARE
NJ7942508Medicaid
NJ031160A0WMedicare PIN
NJH02948Medicare UPIN