Most Relevant Information
Provider Data
| NPI Number: | 1003807710 |
| Provider Name: | RANDY L HIRSCHTICK MD PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 77720 |
Most Important Dates
| Enumeration Date: | 11/02/2005 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
185 CAMBRIDGE ST, 2ND FLOOR
SIMCHES RESEARCH CENTER
BOSTON
MA
02114
Practice Location Phone/Fax
| Phone: | 6177249602 |
| Fax: | 6177264078 |
Provider Mailing Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
021299142
Provider Mailing Phone/Fax
| Phone: | 6177249602 |
| Fax: | 6177264078 |
Suggested EMR
Psychiatry EMR