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General NPI Number Information
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NPI Number | 1538192265
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Entity Type | Organization
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Legal Business Name | GREGORY D HIRSCH MD LLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 203 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4525
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Country | US
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Telephone | 908-904-4966
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Fax | 908-904-4968
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Provider Business Mailing Address
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Address Line | 203 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4525
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Country | US
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Telephone | 908-904-4966
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Fax | 908-904-4968
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GREGORY DAVIS HIRSCH
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Credential | MD
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Telephone | 908-904-4966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA061899
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License Number State | NJ
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