Individual
HERBERT HERMELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
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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