Individual
PETER NOEL HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH SOUTH PAVILION 218, NEW HAVEN, CT 06510-3220
(203) 688-2222
(203) 785-4580
Mailing address
300 GEORGE ST 6TH FLOOR, PO BOX 9805, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013647
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001136474
—
CT
Enumeration date
11/21/2005
Last updated
07/07/2008
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