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NPI Code Detail

MEDICARE: DR. ROBERT M KIRSCH O.D.

MEDICARE:  DR. ROBERT M KIRSCH  O.D.
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
1152W00000XOptometrist4618NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629075056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT M KIRSCH O.D.
Provider Business Mailing Address
First Line : 495 PROSPECT AVE
Second Line : ESSEX GREEN PLAZA
City : WEST ORANGE
State : NJ
Zip : 07052-4100
Country : US
Telephone Number : 973-736-9700
Fax Number : 973-736-4010
Provider Business Practice Location Address
First Line : 495 PROSPECT AVE
Second Line : ESSEX GREEN PLAZA
City : WEST ORANGE
State : NJ
Zip : 07052-4100
Country : US
Telephone Number : 973-736-9700
Fax Number : 973-736-4010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT M KIRSCH O.D.” Practice Location

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