Organization
HAWTHORNE NEUROLOGY PC
Active
Other names
Fred H. Hochberg, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HARVEY HOCHBERG M.D. (OWNER)
(617) 724-8770
Entity
Organization
Contact information
Practice address
55 FRUIT ST, YAW 9, BOSTON, MA 02114-2621
(617) 724-8770
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36415
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9751751
—
MA
01
—
M18988
BLUE CROSS BLUE SHEILD MA
MA
Enumeration date
01/03/2007
Last updated
11/07/2007
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