Individual
DR. ALAN J HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 CEDAR GROVE LANE, STE 108, SOMERSET, NJ 08873
(732) 560-7172
(732) 560-7181
Mailing address
107 CEDAR GROVE LANE, STE 108, SOMERSET, NJ 08873
(732) 560-7172
(732) 560-7181
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA05356400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5503205
—
NJ
Enumeration date
05/19/2006
Last updated
03/07/2023
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