Provider Demographics
NPI:1518067206
Name:HIRSH, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:HIRSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:856-356-4710
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68405207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3722588OtherOXFORD
NJ1085964OtherHORIZON NJ HEALTH
NJ1242777OtherUNITED HEALTH CARE
NJ010003815OtherAMERICHOICE
NJ30303OtherUNIVERSITY HEALTH PLAN
NJ0859109Medicaid
NJP2041075OtherOXFORD
NJ001382066OtherAMERIHEALTH PPO/PA BS
NJ2073555000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1108080OtherHORIZON NJ HEALTH
NJ1085964OtherHORIZON NJ HEALTH
E06273Medicare UPIN
NJ024313 DLFMedicare PIN