Individual
ROBERT C HEGERMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(267) 304-1955
Mailing address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282328
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
PA
Enumeration date
12/06/2022
Last updated
12/06/2022
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