Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD012942E | PA |
NPI | 1003907510 |
---|---|
Provider Name | Dr. Leonard F Hirsh |
First Address | Chester, PA 19013-3902 |
Second Address | Chester, PA 19013-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000611571 | (05) | PA |
C29147 | (02) | PA |