Healthcare Provider Details

I. General information

NPI: 1386639854
Provider Name (Legal Business Name): DAVID HEYMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 09/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 DEKALB PIKE
NORRISTOWN PA
19401-1820
US

IV. Provider business mailing address

2701 DEKALB PIKE
NORRISTOWN PA
19401-1820
US

V. Phone/Fax

Practice location:
  • Phone: 610-278-2098
  • Fax: 610-270-8360
Mailing address:
  • Phone: 610-278-2098
  • Fax: 610-270-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOS005857L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS005857L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: