Healthcare Provider Details

I. General information

NPI: 1376519728
Provider Name (Legal Business Name): CELESTE D HECKMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 HAMPDEN DR
STRASBURG PA
17579-1123
US

IV. Provider business mailing address

1135 HAMPDEN DR
STRASBURG PA
17579-1123
US

V. Phone/Fax

Practice location:
  • Phone: 717-687-0313
  • Fax: 717-687-3604
Mailing address:
  • Phone: 717-687-0313
  • Fax: 717-687-3604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD066640L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: