Provider Demographics
NPI:1275507501
Name:VON HAHN, LUDWIG ERIK (MD)
Entity Type:Individual
Prefix:DR
First Name:LUDWIG
Middle Name:ERIK
Last Name:VON HAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:BOX 334
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-1307
Mailing Address - Fax:617-636-5621
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:BOX 334
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-1307
Practice Address - Fax:617-636-5621
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA811882080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3171418Medicaid
MAA40664Medicare UPIN