Eric Dietrich Hermes | West Haven, CT • PECOS Search

Eric Dietrich Hermes

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

950 Campbell Ave # 151d, Bldg. 35 (Lower Level), West Haven, CT 06516-2770

PECOS Enrollment

Based on the most recent information from CMS, provider Eric Dietrich Hermes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1013908094
Provider Type
Individual
Full Name
Hermes, Eric Dietrich
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/31/2005
Last Updated
10/2/2012

Contact Information

Practice Location

950 Campbell Ave # 151d, Bldg. 35 (Lower Level), West Haven, CT 06516-2770

Unlisted Fax

Mailing Location

98 Foster St # 2, New Haven, CT 06511-2609

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 07854 Connecticut