Individual
MR. JAY T. HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Mailing address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05588
TX
363AS0400X
Surgical Physician Assistant
Primary
269
CT
363AS0400X
Surgical Physician Assistant
PA05588
TX
Other
Enumeration date
03/25/2008
Last updated
12/18/2020
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