Individual
JEFF HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5981
Mailing address
12 GILL ST, STE 3000, WOBURN, MA 01801-1728
(781) 937-4522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
213985
MA
207P00000X
Emergency Medicine Physician
MD26572
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175986
—
MA
01
—
J25078
BLUE SHIELD
MA
Enumeration date
05/13/2006
Last updated
08/04/2023
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