Provider Demographics
NPI:1215918172
Name:HERSH, MARCY B (MD)
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:B
Last Name:HERSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-565-7600
Mailing Address - Fax:508-565-7605
Practice Address - Street 1:21 BRISTOL DR STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1199
Practice Address - Country:US
Practice Address - Phone:508-565-7600
Practice Address - Fax:508-565-7605
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2017-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA203500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0100901Medicaid
MAA3128601OtherMEDICARE PTAN
H19662Medicare UPIN