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Individual

VINCENT P HERBST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
904 CAMPBELL ST, SUITE 206, WILLIAMSPORT, PA 17701-3166
(570) 322-1600
(570) 322-6160
Mailing address
904 CAMPBELL ST, SUITE 206, WILLIAMSPORT, PA 17701-3166
(570) 322-1600
(570) 322-6160

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
027240E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010585600001
PA
Enumeration date
05/01/2006
Last updated
09/26/2013
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