Individual
JOHN ISAAC BLANCO HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1207 CHESTNUT ST, PHILADELPHIA, PA 19107-4131
(267) 725-0252
(215) 309-1129
Mailing address
1233 LOCUST ST FL 3, PHILADELPHIA, PA 19107-5400
(215) 985-4448
(855) 634-9302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD478200
PA
208M00000X
Hospitalist Physician
35.142497
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
09/16/2022
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