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NPI Code Detail

MEDICARE: JOY L HELLER DO

MEDICARE:   JOY L HELLER  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS007500LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1501624NB6OTHERPAMEDICARE ID-TYPE UNSPECIFIED

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861487035
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY L HELLER DO
Provider Business Mailing Address
First Line : 412 CREAMERY WAY
Second Line : STE 400
City : EXTON
State : PA
Zip : 19341-2551
Country : US
Telephone Number : 610-594-7590
Fax Number : 610-594-7597
Provider Business Practice Location Address
First Line : 4667 W CHESTER PIKE
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-2227
Country : US
Telephone Number : 610-356-7870
Fax Number : 610-594-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 07/05/2016

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