Provider Demographics
NPI:1063488567
Name:HUROWITZ, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:HUROWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:255 PARK AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1985
Mailing Address - Country:US
Mailing Address - Phone:508-753-8800
Mailing Address - Fax:508-753-0116
Practice Address - Street 1:255 PARK AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1985
Practice Address - Country:US
Practice Address - Phone:508-753-8800
Practice Address - Fax:508-753-0116
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA54669207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ06193OtherBCBS
MA3018628Medicaid
MA043212736OtherTID
MA043212736OtherTID
MAB97990Medicare UPIN