Individual
OLIVER P HERFORT
Active
Individual
OLIVER P HERFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11828
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068461
BLUE CROSS BLUE SHIELD VT
VT
01
—
01YP05036NH01
ANTHEM
NH
05
—
1009816
—
VT
01
—
600347
HARVARD PILGRIM
—
05
—
70001000
—
NH
Enumeration date
07/18/2006
Last updated
02/22/2012
Update your record
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