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Individual

MR. TODD DAVID HIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
175 WATCHUNG BLVD, BERKELEY HEIGHTS, NJ 07922-2726
(908) 464-3100
Mailing address
220 OAKRIDGE RD, HILLSDALE, NJ 07642-1912

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00139800
NJ
2255A2300X
Athletic Trainer
67 000767
NY

Other

Enumeration date
03/21/2006
Last updated
07/19/2014
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