Organization
BRUCE A HERSHOCK MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A HERSHOCK MD (OWNER)
(724) 539-3233
Entity
Organization
Contact information
Practice address
1010 JEFFERSON STREET, LATROBE, PA 15650
(724) 539-3233
(724) 539-0069
Mailing address
1010 JEFFERSON STREET, LATROBE, PA 15650
(724) 539-3233
(724) 539-0069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA016893E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006164150001
—
PA
01
—
1003809
GATEWAY
—
01
—
1508226
BS
—
Enumeration date
04/17/2007
Last updated
08/22/2020
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