Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2018004008 | MO |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.0067598 | CO |
NPI | 1093129447 |
---|---|
Provider Name | Dr. Jonathan S Hirshberg |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2014 |
Last Update Date | 03/02/2022 |