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Individual
DR. ALLAN S HETELSON
Active
Individual
DR. ALLAN S HETELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001286L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005050690001
—
PA
01
—
0060483000
PERSONAL CHOICE
PA
01
—
1033250
KEYSTONE MERCY
PA
Enumeration date
10/25/2005
Last updated
12/09/2009
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