Healthcare Provider Details

I. General information

NPI: 1750200648
Provider Name (Legal Business Name): CAROLINE MOREIRA HOEHENE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLINE OLIVEIRA MOREIRA

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 GRENIER ST
HANSCOM AFB MA
01731-2301
US

IV. Provider business mailing address

740 FARM RD APT 214
MARLBOROUGH MA
01752-6404
US

V. Phone/Fax

Practice location:
  • Phone: 339-265-4587
  • Fax:
Mailing address:
  • Phone: 774-232-4341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: