Individual
MRS. JANICE C HITZHUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 LINCOLN ST, SUITE 4, WORCESTER, MA 01605-2528
(508) 756-0111
(508) 756-0222
Mailing address
200 LINCOLN ST, SUITE 4, WORCESTER, MA 01605-2528
(508) 756-0111
(508) 756-0222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA46700
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18097
FALLON
MA
05
—
2093898
—
MA
01
—
352070
CIGNA
MA
01
—
64643
HARVARD PILGRIM
MA
01
—
714039
TUFTS
MA
01
—
J02195
BLUE CROSS
MA
Enumeration date
10/27/2006
Last updated
10/09/2012
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