Individual
DALE HURSH
Active
Individual
DALE HURSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD044649L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000718505
HIGHMARK
PA
05
—
001279338 0014
—
PA
01
—
0555449000
INDEPENDENCE BLUE CROSS
PA
01
—
080174701
RR MEDICARE
PA
01
—
1417248
AETNA-HMO
PA
01
—
2069914
MERCY
PA
01
—
40246
GEISINGER
PA
01
—
50055979
CAPITAL BLUE CROSS
PA
01
—
5495042
AETNA-NON HMO
PA
01
—
P002392
GATEWAY
PA
Enumeration date
04/19/2006
Last updated
04/12/2011
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