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NPI Code Detail

MEDICARE: THOMAS HECKMAN D.O.

MEDICARE: THOMAS HECKMAN D.O.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician0102202684VA
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianDO034226DC
32081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianH0067867MD

General Provider Information

NPI Number : 1861650913
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS HECKMAN D.O.
Provider Business Mailing Address
First Line : 102 IRVING ST NW DEPT OF
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2921
Country : US
Telephone Number : 202-877-1621
Fax Number : 202-829-2632
Provider Business Practice Location Address
First Line : 18109 PRINCE PHILIP DR STE 155
Second Line :
City : OLNEY
State : MD
Zip : 20832-1591
Country : US
Telephone Number : 301-570-7415
Fax Number : 301-570-7416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2008
Last Update Date : 03/19/2018

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