Individual
PAUL DAVID HIRSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
219 VALLEY RD, MEDIA, PA 19063-5516
(484) 842-1972
(484) 842-1972
Mailing address
219 VALLEY RD, MEDIA, PA 19063-5516
(484) 842-1972
(484) 842-1972
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD033129E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00954002
MEDICARE PTAN
KY
01
—
0369003
MEDICARE
KY
01
—
0369203
MEDICARE
KY
01
—
0562607
MEDICARE
KY
01
—
060036836
RAILROAD MEDICARE
—
05
—
0890951
—
OH
01
—
50024707
PASSPORT MEDICAID
KY
01
—
611300608068
CARESOURCE
OH
05
—
64284748
—
KY
01
—
P00727051
RAILROAD MEDICARE PTAN
KY
01
—
P00912944
RAILROAD MEDICARE
KY
Enumeration date
07/05/2005
Last updated
12/14/2015
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