Individual
FREDERICK J HEINLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2104 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 544-3626
(717) 544-3628
Mailing address
2104 HARRISBURG PIKE, SUITE 200 PO BOX 3200, LANCASTER, PA 17601-2644
(717) 544-3626
(717) 544-3628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MO015653-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230000682
RAILROAD MEDICARE
PA
05
—
D660745
—
PA
Enumeration date
11/08/2005
Last updated
05/21/2008
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