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Individual

EDWARD KIRSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-2000
(215) 214-4119
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9010
(215) 226-8285

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 013985
PA
207RC0000X
Cardiovascular Disease Physician
OS 013985
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007278000
TPI GROUP MA
PA
01
597586
TPI GROUP MEDICARE PTAN
PA
01
CD4829
TPI RAILROAD MEDICARE GROUP ID
PA
Enumeration date
05/07/2008
Last updated
02/04/2013
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