Individual
DR. HERBERT JOSEPH DIMEOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076
(860) 272-2916
(860) 272-2993
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
014237
CT
208M00000X
Hospitalist Physician
Primary
014237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001142371
—
CT
Enumeration date
04/24/2006
Last updated
06/18/2021
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