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Individual

DR. MARTIN STANLEY HIRSCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, GRJ 5 INFECTIOUS DISEASE ASSOCIATES, BOSTON, MA 02114-2621
(617) 768-8370
(617) 768-8738
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
33259
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
033259
TUFTS HEALTH PLAN
MA
05
2056704
MA
01
M08082
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
07/08/2007
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