Individual
BRIAN KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 N VALLEY FORGE RD, DEVON, PA 19333-1239
(610) 688-1887
Mailing address
3234 ROUTE 77, VARYSBURG, NY 14167-9713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
018951
NY
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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