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NPI Code Detail

MEDICARE: WILLIAM J KIRSCH MD PC

MEDICARE: WILLIAM J KIRSCH MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0500XCytopathology Physician
2207ZD0900XDermatopathology (Pathology) Physician
3207ZH0000XHematology (Pathology) Physician
4207ZI0100XImmunopathology Physician
5207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1477528933
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM J KIRSCH MD PC
Provider Business Mailing Address
First Line : PO BOX 139
Second Line :
City : STATE COLLEGE
State : PA
Zip : 16804-0139
Country : US
Telephone Number : 814-235-7686
Fax Number : 814-235-1566
Provider Business Practice Location Address
First Line : 105 NASON DR
Second Line :
City : ROARING SPRING
State : PA
Zip : 16673-1202
Country : US
Telephone Number : 814-224-6215
Fax Number : 814-224-6247
Authorized Official
Title or Position : OWNER
Name : DR. WILLIAM J KIRSCH
Credential : MD
Telephone Number : 814-224-6215
Provider Enumeration Date : 02/20/2006
Last Update Date : 04/28/2008

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