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Contact Information

HERBERT J DIMEOLA, MD
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT06076
 Phone: 860-272-2916
 Fax: 860-272-2993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HERBERT J DIMEOLA · (Male)

NPI # 1528024015
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2006
Last updated 06/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 014237
  • CT Medicaid 001142371
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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