Individual
ARIE HERSKOVITS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
(617) 421-6084
Mailing address
147 MILK ST, PROVIDER ENROLLMENT DEPARTMENT, BOSTON, MA 02109-4806
(617) 421-2508
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
59626
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034541
NEIGHBORHOOD HEALTH
MA
01
—
0456295
CIGNA
MA
05
—
3120147
—
MA
01
—
762051
TUFTS HEALTH PLAN
MA
01
—
AA26055
HARVARD PILGRIM
MD
01
—
J14418
BLUE CROSS BLUE SHIELD
MD
Enumeration date
05/04/2006
Last updated
07/08/2007
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