Individual
MR. JONATHAN HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
234 MALL BLVD STE G30, KING OF PRUSSIA, PA 19406-2921
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002083L
PA
363AS0400X
Surgical Physician Assistant
MA002083L
PA
Other
Enumeration date
01/11/2006
Last updated
02/16/2024
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