Provider Demographics
NPI:1477971976
Name:ROCK, HILDA AG (MD)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:AG
Last Name:ROCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HILDA
Other - Middle Name:
Other - Last Name:AUDARDOTTIR-GOULAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1021 MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1970
Mailing Address - Country:US
Mailing Address - Phone:781-756-8534
Mailing Address - Fax:
Practice Address - Street 1:11 SHORE RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2821
Practice Address - Country:US
Practice Address - Phone:781-729-1810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA270300207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine