Healthcare Provider Details

I. General information

NPI: 1447244579
Provider Name (Legal Business Name): STEVEN BENJAMIN KIRSCHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2005
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6646 ATLANTIC AVE STE 100
DELRAY BEACH FL
33446-1627
US

IV. Provider business mailing address

6646 ATLANTIC AVE STE 100
DELRAY BEACH FL
33446-1627
US

V. Phone/Fax

Practice location:
  • Phone: 561-638-9533
  • Fax: 561-638-7760
Mailing address:
  • Phone: 561-638-9533
  • Fax: 561-638-7760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number6938
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: