Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA10085400 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD448307 | PA |
NPI | 1063731669 |
---|---|
Provider Name | Adi Hirshberg |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2010 |
Last Update Date | 16/11/2020 |