Hirsh, S Jay

Hirsh, S Jay is an sole proprietor health care provider with primary practice located at 30 Medical Center Blvd Ste 102, Upland PA 19013-3955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hirsh, S Jay can be contacted via phone (610) 874-6580.

Contact Information

Primary practice address
30 Medical Center Blvd Ste 102 Upland PA 19013-3955
Fax: (610) 874-5504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD12694E Pennsylvania

Profile Details

NPI number 1922004985
LBN Legal business name Hirsh, S Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Jun 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922004985 NPPES
Pennsylvania MEDICAID 000872255

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