Provider Demographics
NPI:1760449300
Name:HOCHSTEDLER, ROWEN M (MD)
Entity Type:Individual
Prefix:
First Name:ROWEN
Middle Name:M
Last Name:HOCHSTEDLER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:39 MIDDLE ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-463-8724
Mailing Address - Fax:
Practice Address - Street 1:24 MORRILL PLACE
Practice Address - Street 2:AMESBURY PSYCHOLOGICAL CENTER
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913
Practice Address - Country:US
Practice Address - Phone:978-388-3652
Practice Address - Fax:978-388-4052
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2010-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA357262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9769897Medicaid
MA9769897Medicaid
MAC26031Medicare ID - Type Unspecified