Doctor Name: | MARK K HIRKO |
NPI Number: | 1023085107 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA09310900 |
Business Practice Address: | 300 2nd Ave Long Branch, NJ - 077406303 |
Business Phone Number: | 7329236770 |
Business Fax Number: | 7329236768 |
Mailing Address: | Po Box 8000, Dept 601 BUFFALO |
State: | NY |
Postal Code: | 142670002 |
Phone Number: | 8662950041 |
Fax Number: | 7325577109 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 25MA09310900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |