Provider Demographics
NPI:1801857370
Name:HOSEY, JOHN T (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:HOSEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 NEPONSET ST FL STREET12
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-595-2855
Mailing Address - Fax:508-425-5656
Practice Address - Street 1:5 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2714
Practice Address - Country:US
Practice Address - Phone:508-595-2855
Practice Address - Fax:508-425-5656
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2018-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA78926207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3066649OtherMEDICAID WELFARE
4339OtherFALLON COMMUNITY HEALTH P
0189034OtherCIGNA HEALTH PLAN
J10475OtherBLUE CARE ELECT
042472266OtherONE HEALTH PLAN
MA3066649Medicaid
784029OtherMVP HEALTH CARE
J10475OtherMEDICARE B
042472266OtherHEALTHCARE VALUE MANAGEME
5960025OtherAETNA
J10475OtherBLUE SHIELD HMO BLUE
29178OtherHEALTHY START
917774OtherFIRST HEALTH
29178OtherCHILDRENS MEDICAL SECURIT
3200055OtherEVERCARE
AA3712OtherHARVARD PILGRIM HEALTHCAR
042472266OtherPRIVATE HEALTHCARE SYSTEM
J10475OtherBLUE SHIELD INDEMNITY
J10475OtherMEDICARE B
917774OtherFIRST HEALTH