Doctor Name: | DR. ROBERT HIRSCH |
NPI Number: | 1184628729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 25MA01906600 |
Business Practice Address: | 870 Palisade Ave Teaneck, NJ - 076663419 |
Business Phone Number: | 2019070900 |
Business Fax Number: | 2019070229 |
Mailing Address: | 870 Palisade Ave, TEANECK |
State: | NJ |
Postal Code: | 076663419 |
Phone Number: | 2019070900 |
Fax Number: | 2019070229 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA01906600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |