Healthcare Provider Details

I. General information

NPI: 1093734402
Provider Name (Legal Business Name): HAROLD MIRSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 24TH ST NW SUITE 7
WASHINGTON DC
20037-2543
US

IV. Provider business mailing address

730 24TH ST NW SUITE 7
WASHINGTON DC
20037-2543
US

V. Phone/Fax

Practice location:
  • Phone: 202-338-5050
  • Fax: 202-965-1333
Mailing address:
  • Phone: 202-338-5050
  • Fax: 202-965-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD5244
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: