Provider Demographics
NPI:1447244579
Name:KIRSCHNER, STEVEN BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BENJAMIN
Last Name:KIRSCHNER
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 1:6646 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:2005-09-05
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI6938207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9020020Medicaid
RID87186Medicare UPIN