Individual
DR. FRED HARVEY HOCHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 9 BRAIN TUMOR CENTER NEURO ONCOLOGY, BOSTON, MA 02114-2621
(617) 724-8770
(617) 248-9665
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
2084N0400X
Neurology Physician
Primary
36415
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040085
—
MA
01
—
705077
TUFTS HEALTH PLAN
MA
01
—
M09005
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
07/08/2007
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