Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 47206 | MA |
NPI | 1023004595 |
---|---|
Provider Name | Zwi Hoch |
First Address | Brockton, MA 02301-2864 |
Second Address | Brockton, MA 02301-2864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 11/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3004490 | (05) | MA |
A66361 | (02) |