Provider Demographics
NPI:1154311827
Name:HOJNOSKI, JON ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:ALEXANDER
Last Name:HOJNOSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HOUGHTON ROAD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MA
Mailing Address - Zip Code:01541
Mailing Address - Country:US
Mailing Address - Phone:978-549-2799
Mailing Address - Fax:978-466-2993
Practice Address - Street 1:127 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757
Practice Address - Country:US
Practice Address - Phone:978-549-2799
Practice Address - Fax:978-466-2993
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78331207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3136655Medicaid
J14746Medicare UPIN
MA3136655Medicaid