Individual
DR. HART GW LIDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7431
(617) 730-0207
Mailing address
6 WHITTIER PL, UNIT #7G, BOSTON, MA 02114-1443
(617) 523-3458
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
56280
MA
207ZP0101X
Anatomic Pathology Physician
56280
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
56280
MA
Other
Enumeration date
08/06/2006
Last updated
09/11/2025
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