Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 0101047654 | VA |
Y | 208600000X | Surgeon | 0101047654 | VA |
N | 2082S0105X | Plastic Hand Surgeon | 0101047654 | VA |
NPI | 1902870314 |
---|---|
Provider Name | Dr. Robert Eugene Hersh |
First Address | Portsmouth, VA 23708-2111 |
Second Address | Portsmouth, VA 23708-2111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 04/04/2016 |