Individual
HITOSHI HIROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 WALNUT ST RM 605, PHILADELPHIA, PA 19107-5001
(215) 518-4418
(215) 823-8222
Mailing address
317 N BROAD ST, PHILADELPHIA, PA 19107-1014
(215) 925-4386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD425075
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA10269800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202096
—
NJ
05
—
102333313
—
PA
Enumeration date
03/14/2006
Last updated
01/31/2024
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