Individual
DR. MICHAEL BYRON HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
272 CENTRE ST, NEWTON, MA 02458-1618
(617) 796-7170
(617) 796-7171
Mailing address
272 CENTRE ST, NEWTON, MA 02458-1618
(617) 796-7170
(617) 796-7171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078659
TUFTS HEALTH PLAN
MA
05
—
3119360
—
MA
01
—
J14262
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
12/15/2011
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