Individual
DR. EPHRAIM P HOCHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 7B, BOSTON, MA 02114-2621
(617) 724-4000
(617) 724-6801
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-4000
(617) 724-6801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156394
MA
207RX0202X
Medical Oncology Physician
Primary
156394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168629
—
MA
01
—
156394
TUFTS HEALTH PLAN
MA
01
—
J24700
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
07/23/2012
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