Individual
THEODOR THOMAS HERWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 INDEPENDENCE WAY, BREWSTER, MA 02631
(508) 896-0050
(508) 896-0012
Mailing address
1 INDEPENDENCE WAY, BREWSTER, MA 02631
(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 HEALTHCARE
MA
01
—
718001
TUFTS
MA
01
—
7783
HARVARD PILGRIM
MA
05
—
9713531
—
MA
01
—
B10032101
CIGNA
MA
Enumeration date
01/03/2006
Last updated
07/08/2007
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