| Fred H. Hochberg, M.d. | |
|
55 Fruit St Yaw 9 Boston MA 02114-2621 | |
| (617) 724-8770 | |
| Not Available |
| Full Name | Fred H. Hochberg, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 55 Fruit St, Boston, Massachusetts |
| Authorized Official Name and Position | Fred Harvey Hochberg (OWNER) |
| Authorized Official Contact | 6177248770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred H. Hochberg, M.d. Po Box 9142 Charlestown MA 02129-9142 Ph: (617) 724-0287 | Fred H. Hochberg, M.d. 55 Fruit St Yaw 9 Boston MA 02114-2621 Ph: (617) 724-8770 |
| NPI Number | 1225195662 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225195662 | NPI | - | NPPES |
| M18988 | Other | MA | BLUE CROSS BLUE SHEILD MA |
| 9751751 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36415 (Massachusetts) | Primary |
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