Provider Demographics
NPI:1477597482
Name:ROWEN M. HOCHSTEDLER MD
Entity type:Organization
Organization Name:ROWEN M. HOCHSTEDLER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROWEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOCHSTEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-388-3652
Mailing Address - Street 1:39 MIDDLE STREET #1
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-388-3652
Mailing Address - Fax:978-346-8853
Practice Address - Street 1:39 MIDDLE STREET #1
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:978-388-3652
Practice Address - Fax:978-346-8853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA357262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC2603103Medicare PIN