Individual
TIMOTHY J HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 289-3375
Mailing address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 289-3375
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
047049
CT
2085R0202X
Diagnostic Radiology Physician
250372
MA
2085R0202X
Diagnostic Radiology Physician
MD442922
PA
2085R0202X
Diagnostic Radiology Physician
PENDING
PA
Other
Enumeration date
05/25/2011
Last updated
01/15/2018
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