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GEORGE WILLIAM HEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD038172E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000139952
BLUE SHIELD
PA
05
0011473840002
PA
01
01623701
CAPITAL BLUE CROSS
PA
01
0473231
US HEALTHCARE
PA
01
0998130
KEYSTONE SPECIALIST
PA
01
10866
GEISINGER HEALTH PLAN
PA
01
110076984
RAILROAD MEDICARE PBA
PA
01
116993900
FEDERAL EMPLOYEES COMP
PA
01
203010
FEDERAL BLACK LUNG
PA
Enumeration date
02/07/2006
Last updated
02/26/2017
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