Provider Demographics
NPI:1790883171
Name:HIRSCHFELD, JOSEPH JULIAN (MD PA)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JULIAN
Last Name:HIRSCHFELD
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 COVE BEND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2752
Mailing Address - Country:US
Mailing Address - Phone:813-972-2299
Mailing Address - Fax:813-972-8700
Practice Address - Street 1:3212 COVE BEND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613
Practice Address - Country:US
Practice Address - Phone:813-972-2299
Practice Address - Fax:813-972-8700
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39014174400000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD54051Medicare UPIN
FLD54051Medicare UPIN