Individual
DR. JOHN CLAYMON HEISEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4885 DEMOSS RD, SUITE 200, READING, PA 19606-9023
(610) 779-0300
(610) 779-8083
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014667E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000645838
—
PA
Enumeration date
07/26/2006
Last updated
05/18/2012
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