Organization
BERKSHIRE ALLERGY & ASTHMA CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD W. HEIN M.D. (PRESIDENT)
(610) 372-0502
Entity
Organization
Contact information
Practice address
2210 RIDGEWOOD RD, SUITE 100, WYOMISSING, PA 19610-1167
(610) 372-0502
(610) 372-9554
Mailing address
2210 RIDGEWOOD RD, SUITE 100, WYOMISSING, PA 19610-1167
(610) 372-0502
(610) 372-9554
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD034450E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016373
—
PA
01
—
02335300
CAPITAL BLUE CROSS
PA
01
—
116364
AETNA
PA
01
—
707900
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/04/2005
Last updated
08/10/2010
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