Individual
MATTHEW HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 274-5189
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 274-5500
(717) 274-5189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS019593
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS019593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103359655
—
PA
05
—
390200000X
—
PA
Enumeration date
05/23/2017
Last updated
07/06/2023
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