Individual
THEO HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3517
(301) 493-4259
Mailing address
PO BOX 791372, BALTIMORE, MD 21279-1372
(301) 608-8375
(301) 608-3979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0043914
MD
207RG0100X
Gastroenterology Physician
Primary
D0043904
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
Enumeration date
10/31/2005
Last updated
08/06/2009
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