| Barton S Herskovitz MD PC | |
|
400 Hillside Ave Needham MA 02494-1263 | |
| (781) 449-5544 | |
| (617) 714-5423 |
| Full Name | Barton S Herskovitz MD PC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 Hillside Ave, Needham, Massachusetts |
| Authorized Official Name and Position | Barton S Herskovitz (PRESIDENT) |
| Authorized Official Contact | 7814495544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barton S Herskovitz MD PC 6b Russell St Cambridge MA 02140-1314 Ph: (781) 449-5544 | Barton S Herskovitz MD PC 400 Hillside Ave Needham MA 02494-1263 Ph: (781) 449-5544 |
| NPI Number | 1548556046 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 04/23/2023 |
| Certification Date | 04/23/2023 |
| Medicare PECOS PAC ID | 5092938068 |
|---|---|
| Medicare Enrollment ID | O20140520000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548556046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 41877 (Massachusetts) | Primary |
| Provider Name | Barton S Herskovitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043363476 PECOS PAC ID: 6800010075 Enrollment ID: I20140818002455 |
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