Provider Demographics
NPI:1518906767
Name:KIRSHNER, STEVEN B (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:KIRSHNER
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 1:525 ROUTE 73 S STE 302
Mailing Address - Street 2:EVESHAM COMMONS
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-9644
Mailing Address - Country:US
Mailing Address - Phone:856-267-5629
Mailing Address - Fax:856-574-4043
Practice Address - Street 1:525 ROUTE 73 S STE 302
Practice Address - Street 2:EVESHAM COMMONS
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9644
Practice Address - Country:US
Practice Address - Phone:856-267-5629
Practice Address - Fax:856-574-4043
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04587400207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0384483000OtherAMERIHEALTH HMO ID
NJ000563222OtherHIGHMARK BLUE SHIELD ID
NJ000563222OtherHIGHMARK BLUE SHIELD ID
NJRE137317Medicare ID - Type Unspecified