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Individual

DR. JONATHAN DAVID HEILICZER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, ERIE AVENUE AT FRONT STREET, PHILADELPHIA, PA 19134-1095
(215) 427-5190
(215) 427-5351
Mailing address
ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, ERIE AVENUE AT FRONT STREET, PHILADELPHIA, PA 19134-1095
(215) 427-5190

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
25MA03488100
NJ
2080P0210X
Pediatric Nephrology Physician
Primary
MD426008
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012386320001
PA
Enumeration date
05/04/2006
Last updated
07/08/2007
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