Individual
MRS. VIRGINIA L HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, F.A.C.S.
Contact information
Practice address
7554 HOSPITAL DR STE D-303, GLOUCESTER, VA 23061-4178
(804) 693-3400
Mailing address
13 GUYER ST, LEBANON, NH 03766-1210
(603) 727-2026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14767
NH
208600000X
Surgery Physician
Primary
0101256109
VA
208600000X
Surgery Physician
14767
NH
208600000X
Surgery Physician
M3015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017051
—
VT
01
—
14767
STATE LICENSE
NH
01
—
1720047558
ANTHEM
NH
01
—
1720047558
BCBS
VT
01
—
3012207
MVP
NH
05
—
30209202
—
NH
01
—
AA163726
HARVARD PILGRIM
NH
Enumeration date
03/21/2006
Last updated
06/30/2020
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