Individual
J MICHAEL HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 N WYOMISSING BLVD, SUITE A, WYOMISSING, PA 19610-1784
(610) 898-2400
(610) 376-5861
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030004E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011482470001
—
PA
Enumeration date
03/14/2006
Last updated
10/19/2011
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