Organization
HAWTHORNE NEUROLOGY PC
Active
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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