Individual
DR. RYAN HEFFELFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 CHESTNUT ST, 6TH FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-6760
(215) 955-7503
Mailing address
925 CHESTNUT ST, 6TH FLOOR, PHILADELPHIA, PA 19107-4216
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD420668
PA
207YS0123X
Facial Plastic Surgery Physician
MD420668
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD420668
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106330
—
NJ
05
—
101661900
—
PA
Enumeration date
06/27/2006
Last updated
03/24/2015
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