Basic Information
| Provider Information | |||||||||
| NPI: | 1912975046 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOBBS | ||||||||
| FirstName: | ELEANOR | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 HOLLAND ST | ||||||||
| Address2: | |||||||||
| City: | SOMERVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021442705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176296350 | ||||||||
| FaxNumber: | 6176296067 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 HOLLAND ST | ||||||||
| Address2: | INTERNAL MEDICINE | ||||||||
| City: | SOMERVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021442705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176296350 | ||||||||
| FaxNumber: | 6176296067 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2006 | ||||||||
| LastUpdateDate: | 11/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 11/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 38768 | MA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | 38768 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 6167381 | 05 | MA | MEDICAID | 712773 | 01 | MA | TUFTS | OTHER | AA24264 | 01 | MA | HARVARD PILGRIM | OTHER | B07187 | 01 | MA | BLUE CROSS | OTHER |