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NPI Code Detail

MEDICARE: JENNIFER HIRSH M.D.

MEDICARE: JENNIFER HIRSH M.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
12084H0002XHospice and Palliative Medicine (Psychiatry & Neurology) Physician35.090105OH

General Provider Information

NPI Number : 1851518351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HIRSH M.D.
Provider Business Mailing Address
First Line : 1151 COLLEGE AVE
Second Line : ZUSMAN HOSPICE AT WEXNER HERITAGE VILLAGE
City : COLUMBUS
State : OH
Zip : 43209-2827
Country : US
Telephone Number : 614-559-0350
Fax Number : 614-338-2379
Provider Business Practice Location Address
First Line : 1151 COLLEGE AVE
Second Line : ZUSMAN HOSPICE AT WEXNER HERITAGE VILLAGE
City : COLUMBUS
State : OH
Zip : 43209-2827
Country : US
Telephone Number : 614-559-0350
Fax Number : 614-338-2379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 11/17/2011

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