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Individual

STEVEN KIRSHBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05496100
NJ
2081P0004X
Spinal Cord Injury Medicine Physician
25MA05496100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051004
NJ
Enumeration date
10/11/2005
Last updated
03/10/2011
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