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Individual

HERBERT HERMELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017779
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000503
HEALTH NET
CT
05
001177799
CT
01
0085203
AETNA
CT
01
010017779CT01
ANTHEM BC/BS
CT
01
299241 (2) (3)
EMPIRE BC/BS
CT
01
517779
CONNECTICARE
CT
01
TIN
POMCO
01
ZS305
OXFORD HEALTH PLANS
CT
Enumeration date
08/29/2006
Last updated
03/29/2017
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