Basic Information
| Provider Information | |||||||||
| NPI: | 1205035730 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HIRSCH | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | LINNE | ||||||||
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| Credential: | MD | ||||||||
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| OtherLastName: | HIRSCH | ||||||||
| OtherFirstName: | MICHELE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 101 E OLNEY AVE | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | PHILA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191202421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152542630 | ||||||||
| FaxNumber: | 2152542599 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 PENN BLVD | ||||||||
| Address2: | SUITE 111 | ||||||||
| City: | PHILA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191441416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158436093 | ||||||||
| FaxNumber: | 2159518956 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2007 | ||||||||
| LastUpdateDate: | 11/21/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD431808 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.