Provider Demographics
NPI:1497749253
Name:HIRSCH, DENISE R (MD)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:R
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ENDICOTT ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3623
Mailing Address - Country:US
Mailing Address - Phone:978-882-6191
Mailing Address - Fax:
Practice Address - Street 1:102 ENDICOTT ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3623
Practice Address - Country:US
Practice Address - Phone:978-882-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA73907207RC0000X, 207UN0901X
NH12263207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA073907OtherTUFTS HEALTH PLAN
MA0017004OtherNEIGHBORHOOD HEALTH PLAN
MAJ31208OtherBLUE CROSS BLUE SHIELD
MAP00294085OtherRR MEDICARE
MA04-06390OtherEVERCARE
NH30008420OtherNH MEDICAID
MA3138071Medicaid
MAAA78366OtherHARVARD PILGRIM HEALTHCAR
NHG02254OtherANTHEM BLUE CROSS
MA975009OtherNETWORK HEALTH
MA04-06390OtherEVERCARE
MAP00294085OtherRR MEDICARE
MAJ31208Medicare PIN