Provider Demographics
NPI:1225045784
Name:HOCHLER, MARC G (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:G
Last Name:HOCHLER
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:PO BOX 656
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-0656
Mailing Address - Country:US
Mailing Address - Phone:508-820-6041
Mailing Address - Fax:
Practice Address - Street 1:56 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-1253
Practice Address - Country:US
Practice Address - Phone:203-709-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT62006207V00000X
NY285610207V00000X
MA70457207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
404359OtherRIBCHIP
MA70457OtherLICENSE
MAJ08128OtherMABC
NY285610OtherLICENSE
CT62006OtherLICENSE
0700910OtherUHC
MA13276OtherHPHC
MA6112OtherFALLON
MAB20294901OtherCIGNA
MA3048977Medicaid
MA713654OtherTUFTS
MA3048977Medicaid
MA713654OtherTUFTS
NYFH6253556OtherDEA