Organization
FAMILY DOCTOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N HEID D.O. (PRESIDENT)
(610) 966-5549
Entity
Organization
Contact information
Practice address
1040 CHESTNUT ST, EMMAUS, PA 18049-1952
(610) 966-5549
(610) 967-0204
Mailing address
1040 CHESTNUT ST, EMMAUS, PA 18049-1952
(610) 966-5549
(610) 967-0204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02349800
CAPITAL BLUE CROSS
PA
01
—
875361
PA. BLUE SHIELD
PA
01
—
E1BB
GEISINGER HEALTH PLAN
PA
Enumeration date
01/10/2007
Last updated
11/29/2007
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