Healthcare Provider Details

I. General information

NPI: 1891799243
Provider Name (Legal Business Name): GERARD L. HELINEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 7TH AVE STE 135
WEST READING PA
19611-1442
US

IV. Provider business mailing address

301 S 7TH AVE STE 135
WEST READING PA
19611-1442
US

V. Phone/Fax

Practice location:
  • Phone: 610-988-5982
  • Fax: 610-988-8400
Mailing address:
  • Phone: 610-988-5982
  • Fax: 610-988-8400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD-025166-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: