Provider Demographics
NPI:1235191461
Name:HILL, MARIA DELOURDES (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DELOURDES
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:960 MASSACHUSETTS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:617-414-5405
Mailing Address - Fax:617-414-6036
Practice Address - Street 1:850 HARRISON AVE FL 4
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4001
Practice Address - Country:US
Practice Address - Phone:617-414-4363
Practice Address - Fax:617-414-4362
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2024-11-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA157553208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3194566Medicaid
H57308Medicare UPIN
MAA33699Medicare ID - Type Unspecified