Doctor Name: | RALPH FRANK HIRSCHFELD |
NPI Number: | 1144523077 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NURSE PRACTITIONER |
License Number: | 5793 |
Business Practice Address: | 202 Pomfret St Putnam, CT - 062601833 |
Business Phone Number: | 8609637917 |
Business Fax Number: | 8609630015 |
Mailing Address: | 40 Mansfield Ave, WILLIMANTIC |
State: | CT |
Postal Code: | 062262018 |
Phone Number: | 8604507471 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2010 |
NPI Last Update Date: | 10/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 5793 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |