Individual
DR. STUART MARK HOCHRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
454 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505-7602
(505) 303-5000
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2018-0638
NM
207RP1001X
Pulmonary Disease Physician
MA35655
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056459
GHI
—
01
—
LP076
OXFORD INSURANCE COMPANY
—
01
—
OK4663
HEALTHNET
—
Enumeration date
07/18/2006
Last updated
05/08/2019
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