Provider Demographics
NPI:1588761944
Name:HIRSCH, STUART E (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:E
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:360 MIDDLETOWN BLVD.
Mailing Address - Street 2:OXFORD SQUARE #402
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1822
Mailing Address - Country:US
Mailing Address - Phone:215-757-6200
Mailing Address - Fax:215-750-7875
Practice Address - Street 1:360 MIDDLETOWN BLVD.
Practice Address - Street 2:OXFORD SQUARE #402
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1822
Practice Address - Country:US
Practice Address - Phone:215-757-6200
Practice Address - Fax:215-750-7875
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA011510E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC31216Medicare UPIN
PA133042F6MMedicare PIN