MEDICARE: ERIC C. HYDER M.D.

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	207P00000X	Emergency Medicine Physician	278041	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922458926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC C. HYDER M.D.

Provider Business Mailing Address
First Line	:	364 RIVERWAY
Second Line	:	APT# 20
City	:	BOSTON
State	:	MA
Zip	:	02115-6419
Country	:	US
Telephone Number	:	267-408-4908
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 DEACONESS RD
Second Line	:	ROSENBURG BLDG FLOOR 2 DEPT. OF EMERGENCY MEDICINE
City	:	BOSTON
State	:	MA
Zip	:	02115-6007
Country	:	US
Telephone Number	:	267-408-4908
Fax Number	:

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

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	05/18/2022

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