Basic Information
| Provider Information | |||||||||
| NPI: | 1710951207 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOCHMAN | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 282 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061063322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605459520 | ||||||||
| FaxNumber: | 8605459545 | ||||||||
| Practice Location | |||||||||
| Address1: | 282 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061063322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605459520 | ||||||||
| FaxNumber: | 8605459545 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 08/26/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 016989 | CT | N | Allopathic & Osteopathic Physicians | Urology | 2088P0231X | 016989 | CT | Y | Allopathic & Osteopathic Physicians | Urology | Pediatric Urology |
ID Information
| ID | Type | State | Issuer | Description | 06-1406459 | 01 | CT | TRICARE | OTHER | 06-1406459 | 01 | CT | PRIVATE HEALTHCARE SYSTEM | OTHER | 06-1406459 | 01 | CT | PIONEER | OTHER | 0152488 | 01 | CT | CIGNA | OTHER | P3818358 | 01 | CT | OXFORD | OTHER | 010016989CT09 | 01 | CT | ANTHEM BLUECARE FAMILY PL | OTHER | 06-1406459 | 01 | CT | GREAT WEST HEALTHCARE | OTHER | 13103 | 01 | CT | HEALTH NEW ENGLAND | OTHER | 001169895 | 05 | CT | MEDICAID | 010016989CT09 | 01 | CT | ANTHEM | OTHER | 06-1406459 | 01 | CT | NORTTHEAST HEALTH DIRECT | OTHER | 06-1406459 | 01 | CT | COLONIAL COOPERATIVE CARE | OTHER | 06-1406459 | 01 | CT | CORVEL | OTHER | 06-1406459 | 01 | CT | MULTIPLAN | OTHER | 06-1406459 | 01 | CT | UNITED HEALTHCARE | OTHER | 2V9520 | 01 | CT | HEALTH NET | OTHER | 4112096 | 01 | CT | AETNA | OTHER |