Individual
VICTOR A HERESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTER, CHESTER, PA 19013-3902
(215) 447-2000
(610) 617-6280
Mailing address
PO BOX 13973, HAN EMERGENCY PHYSICIANS, PHILADELPHIA, PA 19101-3973
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB05928100
NJ
207P00000X
Emergency Medicine Physician
C2-0013340
DE
207P00000X
Emergency Medicine Physician
OS 008170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427270
—
PA
05
—
5500702
—
NJ
Enumeration date
05/24/2006
Last updated
01/22/2025
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