MEDICARE: DR. HENRY HIRSCH

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
1	207RC0000X	Cardiovascular Disease Physician	ME0019262	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1881657914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY HIRSCH

Provider Business Mailing Address
First Line	:	410 EAST HALLANDALE BEACH BLVD
Second Line	:	CHEN MEDICAL HALLANDALE, INC
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5584
Country	:	US
Telephone Number	:	954-454-5777
Fax Number	:	954-924-0812

Provider Business Practice Location Address
First Line	:	410 EAST HALLANDALE BEACH BLVD
Second Line	:	CHEN MEDICAL HALLANDALE, INC
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5584
Country	:	US
Telephone Number	:	954-454-5777
Fax Number	:	954-924-0812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	01/15/2016

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Directions to “ DR. HENRY HIRSCH ” Practice Location

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