| Theodor T. Herwig, M.d., P.c. | |
|
1 Independence Way Brewster MA 02631-1906 | |
| (508) 896-0050 | |
| (508) 896-0012 |
| Full Name | Theodor T. Herwig, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Independence Way, Brewster, Massachusetts |
| Authorized Official Name and Position | Theodor Thomas Herwig (MEDICAL DOCTOR) |
| Authorized Official Contact | 5088960050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodor T. Herwig, M.d., P.c. 1 Independence Way Brewster MA 02631-1906 Ph: (508) 896-0050 | Theodor T. Herwig, M.d., P.c. 1 Independence Way Brewster MA 02631-1906 Ph: (508) 896-0050 |
| NPI Number | 1558562215 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558562215 | NPI | - | NPPES |
| 9713531 | Medicaid | MA | |
| 718001 | Other | MA | TUFTS |
| 7783 | Other | MA | HARVARD PILGRIM |
| M17926 | Other | MA | BCBS GROUP NUMBER |
| B10032101 | Other | MA | CIGNA |
| 01-00760 | Other | MA | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 72413 (Massachusetts) | Primary |
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