Basic Information
| Provider Information | |||||||||
| NPI: | 1497749253 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HIRSCH | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 102 ENDICOTT ST | ||||||||
| Address2: | |||||||||
| City: | DANVERS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019233623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9788826191 | ||||||||
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| Practice Location | |||||||||
| Address1: | 102 ENDICOTT ST | ||||||||
| Address2: | |||||||||
| City: | DANVERS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019233623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9788826191 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2005 | ||||||||
| LastUpdateDate: | 09/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 73907 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207UN0901X | 73907 | MA | N | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Cardiology | 207RC0000X | 12263 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 073907 | 01 | MA | TUFTS HEALTH PLAN | OTHER | 0017004 | 01 | MA | NEIGHBORHOOD HEALTH PLAN | OTHER | J31208 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | P00294085 | 01 | MA | RR MEDICARE | OTHER | 04-06390 | 01 | MA | EVERCARE | OTHER | 30008420 | 01 | NH | NH MEDICAID | OTHER | 3138071 | 05 | MA | MEDICAID | AA78366 | 01 | MA | HARVARD PILGRIM HEALTHCAR | OTHER | G02254 | 01 | NH | ANTHEM BLUE CROSS | OTHER | 975009 | 01 | MA | NETWORK HEALTH | OTHER |