Healthcare Provider Details

I. General information

NPI: 1831425362
Provider Name (Legal Business Name): KAREN HEFFLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2009
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BELMONT AVE APT 1109
BALA CYNWYD PA
19004-2446
US

IV. Provider business mailing address

50 BELMONT AVE APT 1109
BALA CYNWYD PA
19004-2446
US

V. Phone/Fax

Practice location:
  • Phone: 215-816-5687
  • Fax:
Mailing address:
  • Phone: 215-816-5687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD039107E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: