Individual
DR. JENNIFER REBECCA HEIMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3550 MARKET ST FL 3, CHILDRENS HOSPITAL OF PHILADELPHIA - ALLERGY AND IMMUN, PHILADELPHIA, PA 19104-3365
(215) 590-2549
(215) 590-4529
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD440044
PA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
25MA07835700
NJ
208000000X
Pediatrics Physician
25MA07835700
NJ
208000000X
Pediatrics Physician
MD440044
PA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD440044
PA
Other
Enumeration date
06/29/2007
Last updated
04/15/2013
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