MEDICARE: DR. CHRISTINE V HERBERT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD7842	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-07270	OTHER		UNITEDHEALTHCARE
2	004363	OTHER	RI	BLUE CHIP OF RHODE ISLAND
3	2971	OTHER		NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	406222	OTHER		TUFTS
6	5010229	OTHER		AETNA
7	21725-5	OTHER	RI	BLUE SHIELD OF RHODE ISLAND
8	1346202884	OTHER		CHAMPUS

General Provider Information

NPI Number	:	1346202884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE V HERBERT M.D.

Provider Business Mailing Address
First Line	:	407 EAST AVE
Second Line	:	SUITE120
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5299
Country	:	US
Telephone Number	:	401-725-4700
Fax Number	:	401-725-4740

Provider Business Practice Location Address
First Line	:	407 EAST AVE
Second Line	:	SUITE120
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5299
Country	:	US
Telephone Number	:	401-725-4700
Fax Number	:	401-725-4740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	05/06/2022

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