Provider Demographics
NPI:1548214174
Name:HERSH, CRAIG P (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:P
Last Name:HERSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:181 LONGWOOD AVENUE
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL CHANNING LABORATORY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-525-0729
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2012-05-02
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Provider Licenses
StateLicense IDTaxonomies
MA204612207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAI14725Medicare UPIN