Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT206683 | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME151535 | FL |
NPI | 1104231059 |
---|---|
Provider Name | Dr. David Crandall Hirsch |
First Address | Philadelphia, PA 19107-4430 |
Second Address | Winter Park, FL 32792-3229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2014 |
Last Update Date | 08/09/2021 |