MEDICARE: DR. CHARLES CHRISTIAN HECK JR. M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	097246	NY

General Provider Information

NPI Number	:	1962642496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES CHRISTIAN HECK JR. M.D.

Provider Business Mailing Address
First Line	:	678 QUAKER RD
Second Line	:
City	:	SCOTTSVILLE
State	:	NY
Zip	:	14546-9635
Country	:	US
Telephone Number	:	585-889-3115
Fax Number	:

Provider Business Practice Location Address
First Line	:	678 QUAKER RD
Second Line	:
City	:	SCOTTSVILLE
State	:	NY
Zip	:	14546-9635
Country	:	US
Telephone Number	:	585-889-3115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	02/24/2009

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