Provider Demographics
NPI:1740374677
Name:HIRTH, MOSHE ELIEZER (MD)
Entity type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:ELIEZER
Last Name:HIRTH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6646 ATLANTIC AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1627
Mailing Address - Country:US
Mailing Address - Phone:561-638-9533
Mailing Address - Fax:561-638-7760
Practice Address - Street 1:6646 ATLANTIC AVE STE 100
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1627
Practice Address - Country:US
Practice Address - Phone:561-638-9533
Practice Address - Fax:561-638-7760
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2021-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0064286207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002083251OtherAPWU
FL10659976120OtherHUMANA
FL29-70224OtherUNITED HEALTHCARE
FL0005688748OtherAETNA
FL2499888OtherGHI
FL9983036OtherUNIVERSAL HEALTHCARE
FL100012481OtherRAILROAD MEDICARE
FLM00000022576OtherBLUE CROSS WESTERN NY
FL2984313OtherAARP-UHC
FL28447OtherBLUE CROSS BLUE SHIELD OF FLA
FL5897OtherNEIGHBORHOOD HEALTH PARTNERSHIP
FL5897OtherNEIGHBORHOOD HEALTH PARTNERSHIP