Provider Demographics
NPI:1447293519
Name:HIRSCHBEIN, MARC J (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:J
Last Name:HIRSCHBEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:2411 W BELVEDERE AVENUE, 6TH FLOOR
Practice Address - Street 2:MORTON MOWER, M.D. MOB
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-8283
Practice Address - Fax:410-601-8273
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-11-29
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Provider Licenses
StateLicense IDTaxonomies
MDD54506207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCB8985OtherR/R MEDICARE GROUP #
MDCB8985OtherR/R MEDICARE GROUP #
MDG81844Medicare UPIN