Individual
MISS JUDITH DALE HERSHBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS
Contact information
Practice address
653 SUMMER ST, 2ND FLOOR, BOSTON, MA 02210-2108
(617) 269-6262
(617) 269-1068
Mailing address
241 PERKINS ST, B702, BOSTON, MA 02130-4002
(617) 566-9342
(617) 566-3944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009276
AETNA
MA
01
—
10230200
ACS
MA
01
—
467779
TUFTS HEALTH PLAN
MA
01
—
603413
HARVARD PILGRIM
MA
01
—
6440025
UNITED HEALTHCARE
MA
01
—
8211
NEIGHBORHOOD HEALTH PLAN
MA
01
—
Y66014
BLUE CROSS
MA
Enumeration date
06/03/2006
Last updated
07/08/2007
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