Provider Demographics
NPI:1760579478
Name:HANDEL, ELIZABETH HURD (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HURD
Last Name:HANDEL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1410 HIGHLAND AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2671
Mailing Address - Country:US
Mailing Address - Phone:781-444-3044
Mailing Address - Fax:781-444-3165
Practice Address - Street 1:1410 HIGHLAND AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2671
Practice Address - Country:US
Practice Address - Phone:781-444-3044
Practice Address - Fax:781-444-3165
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA57884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3025675Medicaid
MA3025675Medicaid
MAB77241Medicare UPIN