Provider Demographics
NPI:1477006583
Name:LIRK, PHILIPP (MD PHD)
Entity Type:Individual
Prefix:MR
First Name:PHILIPP
Middle Name:
Last Name:LIRK
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VAN BREESTRAAT 91
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NORTH HOLLAND
Mailing Address - Zip Code:1071ZH
Mailing Address - Country:NL
Mailing Address - Phone:3120-566-4032
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPT. OF ANESTHESIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ69912944301207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology