Organization
THEODOR T. HERWIG, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODOR THOMAS HERWIG M.D. (MEDICAL DOCTOR)
(508) 896-0050
Entity
Organization
Contact information
Practice address
1 INDEPENDENCE WAY, BREWSTER, MA 02631-1906
(508) 896-0050
(508) 896-0012
Mailing address
1 INDEPENDENCE WAY, BREWSTER, MA 02631-1906
(508) 896-0050
(508) 896-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00760
UNITED HEALTH CARE
MA
01
—
718001
TUFTS
MA
01
—
7783
HARVARD PILGRIM
MA
05
—
9713531
—
MA
01
—
B10032101
CIGNA
MA
01
—
M17926
BCBS GROUP NUMBER
MA
Enumeration date
05/30/2007
Last updated
08/22/2020
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