Provider Demographics
NPI:1124019195
Name:HOPPIN, ALISON GREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:GREW
Last Name:HOPPIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:HOPPIN
Other - Last Name:MURCHISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:MASS. GENERAL PHYSICIAN ORGANIZATION
Mailing Address - Street 2:P.O. BOX 9142
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8705
Mailing Address - Fax:617-724-6565
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:MGH WEIGHT CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-8705
Practice Address - Fax:617-724-6565
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA761322080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA076132OtherTUFTS HEALTH PLAN
MA3136451Medicaid
MAJ31122OtherBCBS MA
MAJ31122Medicare PIN
F98164Medicare UPIN