Healthcare Provider Details

I. General information

NPI: 1841270840
Provider Name (Legal Business Name): E. BERRY HEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 7TH AVE SUITE 2020
WEST READING PA
19611-1410
US

IV. Provider business mailing address

301 S 7TH AVE SUITE 2020
WEST READING PA
19611-1410
US

V. Phone/Fax

Practice location:
  • Phone: 610-375-6565
  • Fax: 610-375-2065
Mailing address:
  • Phone: 610-375-6565
  • Fax: 610-375-2065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD-005612-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: