Individual
EDWARD L HODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 WALL ST, HARVARD VANGARD MEDICAL ASSOCIATES, BURLINGTON, MA 01803-4758
(781) 221-2800
(781) 221-2680
Mailing address
147 MILK ST, 9TH FLOOR - HARVARD VANGARD MEDICAL ASSOCIATES, BOSTON, MA 02109-4806
(617) 559-8239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60217
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
60217
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003778
NEIGHBORHOOD HEALTH
MA
01
—
0873965
CIGNA
MA
01
—
12-04572
UNITED HEALTHCARE
MA
05
—
3040020
—
MA
01
—
3547313
AETNA
MA
01
—
722650
TUFTS
MA
01
—
AA8202
HARVARD PILGRIM
MA
01
—
J07891
BLUE CROSS
MA
Enumeration date
12/20/2005
Last updated
06/07/2012
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