Provider Demographics
NPI:1447226956
Name:JOFFE, HADINE (MD MSC)
Entity Type:Individual
Prefix:DR
First Name:HADINE
Middle Name:
Last Name:JOFFE
Suffix:
Gender:F
Credentials:MD MSC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-7792
Mailing Address - Fax:617-726-7541
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:CPZN 185 2296 MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-5600
Practice Address - Fax:617-643-3080
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1503052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB152090Medicaid
MAA21269Medicare ID - Type Unspecified
G26705Medicare UPIN