Individual
DR. RANDY L HIRSCHTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
185 CAMBRIDGE ST, 2ND FLOOR, SIMCHES RESEARCH CENTER, BOSTON, MA 02114
(617) 724-9602
(617) 726-4078
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-9602
(617) 726-4078
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077720
TUFTS HEALTH PLAN
MA
05
—
3116271
—
MA
01
—
J14229
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
08/21/2024
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