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Individual

BONNIE P. HERSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1020
(617) 421-1063
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1020
(617) 421-1063

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
80786
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018223
NEIGHBORHOOD HEALTH PLAN
MA
01
080786
TUFTS HEALTH PLAN
MA
05
3166791
MA
01
8326592-002
CIGNA
MA
01
J17853
BLUE CROSS
MA
01
P00026164
MEDICARE RAILROAD
MA
01
PK161
HARVARD PILGRIM
MA
Enumeration date
09/29/2006
Last updated
01/06/2021
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