Provider Demographics
NPI:1184750762
Name:HIRSCH, GREGORY M (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:M
Last Name:HIRSCH
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 1:1230 BLENHEIM TERRACE
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:NS
Mailing Address - Zip Code:B3H4B2
Mailing Address - Country:CA
Mailing Address - Phone:902-473-7890
Mailing Address - Fax:
Practice Address - Street 1:NEW HALIFAX INFIMARY
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:NS
Practice Address - Zip Code:B3H
Practice Address - Country:CA
Practice Address - Phone:902-473-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57741208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)