# MASSACHUSETTS GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710268362
- **Authorized official:** DR. EPHRAIM HOCHBERG M.D. (COLLABORATIVE PHYSICIAN)
- **Authorized official phone:** (617) 724-0245

## Contact information

- **Practice address:** 55 FRUIT ST, BOSTON, MA 02114-2621
- **Practice address phone:** (617) 724-0245
- **Mailing address:** 55 FRUIT ST, BOSTON, MA 02114-2621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | RN2258297 | MA | Yes |

## Other

- **Enumeration date:** 09/08/2011
- **Last updated:** 06/12/2013