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DR. HART GW LIDOV MD PHD NPI 1770592941


NPI Information

NPI: 1770592941
Provider Name: DR. HART GW LIDOV, MD, PHD
Classification: Pathology - 207ZN0500X
Entity Type: Individual

Specialization: Neuropathology

Organization: BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC

PECOS Registration: Yes

Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-7431
Get Directions

DR. Hart Gw Lidov, MD, PHD is a neuropathology pathology in Boston, MA with 42 years of experience. The provider is a neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. DR. Hart Gw Lidov, MD, PHD NPI is 1770592941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-7431
Fax: (617) 730-0207

The NPI 1770592941 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZN0500XPathologyNeuropathology56280MASSACHUSETTSYes
2207ZP0101XPathologyAnatomic Pathology56280MASSACHUSETTSX
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology56280MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B75114MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.