Provider Demographics
NPI:1750632584
Name:REST, HERBERT F (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:F
Last Name:REST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 BEAVER POND RD
Mailing Address - Street 2:
Mailing Address - City:DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05301
Mailing Address - Country:US
Mailing Address - Phone:802-257-7099
Mailing Address - Fax:
Practice Address - Street 1:226 BEAVER POND RD
Practice Address - Street 2:
Practice Address - City:DUMMERSTON
Practice Address - State:VT
Practice Address - Zip Code:05301-9644
Practice Address - Country:US
Practice Address - Phone:802-257-7099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57964207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine