Individual provider · Type 1 NPI

Jay T. Hirsch, P.A.-C

Surgical Physician Assistant · Trumbull, CT

NPI number 1619149028 Active

Practice location

5520 Park Ave
Trumbull, CT 06611-3463

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA05588 (TX)
Surgical Physician Assistant 363AS0400XPA05588 (TX)
Surgical Physician Assistant Primary 363AS0400X269 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1619149028

Jay T. Hirsch, P.A.-C's National Provider Identifier is 1619149028, issued on Mar 25, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Trumbull, CT. The record was last updated on Dec 18, 2020.