MEDICARE: DR. MARTIN ALAN HOCHSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	NJ 30254	NJ
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MA03025400	NJ

General Provider Information

NPI Number	:	1255406427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN ALAN HOCHSTEIN MD

Provider Business Mailing Address
First Line	:	466 OLD HOOK RD
Second Line	:	SUITE 1
City	:	EMERSON
State	:	NJ
Zip	:	07630-1368
Country	:	US
Telephone Number	:	201-967-8221
Fax Number	:	201-634-9647

Provider Business Practice Location Address
First Line	:	466 OLD HOOK RD
Second Line	:	SUITE 1
City	:	EMERSON
State	:	NJ
Zip	:	07630-1368
Country	:	US
Telephone Number	:	201-967-8221
Fax Number	:	201-634-9647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	12/18/2012

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