Individual
MR. ERIC STEVEN SEYFERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 HOSPITAL DR, SUITE 310, BENNINGTON, VT 05201-5018
(802) 442-7855
(802) 442-6638
Mailing address
140 HOSPITAL DR, SUITE 310, BENNINGTON, VT 05201-5018
(802) 442-7855
(802) 442-6638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0007982
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009437
—
VT
01
—
010028337
RAILROAD MEDICARE
—
01
—
030320620
CIGNA
—
01
—
11012
MVP
VT
01
—
11012
MVP
—
01
—
1601
BCBS VERMONT
VT
01
—
76573
GHI
NY
01
—
T001346
TRICARE
—
Enumeration date
07/26/2005
Last updated
08/05/2010
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