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Individual

DANIEL SHAWN HIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2473
Mailing address
66 WEST GILBERT ST, REDBANK, NJ 07701
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
188019
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01836795
NY
05
8887403
NJ
Enumeration date
12/12/2005
Last updated
10/05/2023
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