MEDICARE: PHILIP S HSU 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	2084N0400X	Neurology Physician	151891	MA

General Provider Information

NPI Number	:	1881696813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP S HSU MD

Provider Business Mailing Address
First Line	:	280 CHESTNUT STREET
Second Line	:	2ND FLOOR
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-1001
Country	:	US
Telephone Number	:	413-794-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 MAIN STREET
Second Line	:	3RD FLOOR SUITES C & D
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1112
Country	:	US
Telephone Number	:	413-794-5600
Fax Number	:	413-794-7297

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	01/12/2018

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