Provider Demographics
NPI:1841271731
Name:HODIN, RICHARD AARON (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:AARON
Last Name:HODIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-2570
Mailing Address - Fax:617-724-2574
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:GRB 504
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-2570
Practice Address - Fax:617-724-2574
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2013-01-03
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Provider Licenses
StateLicense IDTaxonomies
MA71635208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA071635OtherTUFTS HEALTH PLAN
MA3061086Medicaid
MAJ09524OtherBCBS MA
MA071635OtherTUFTS HEALTH PLAN
MAJ09524OtherBCBS MA