Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD432118 | PA |
Y | 207PE0004X | Emergency Medical Services | 14923 | NH |
N | 207PE0004X | Emergency Medical Services | 234892 | MA |
NPI | 1083809420 |
---|---|
Provider Name | Dr. David James Hirsch |
First Address | Concord, NH 03301-7539 |
Second Address | Concord, NH 03301-7539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 29/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30209746 | (05) | NH |