Individual
LEO HEITLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1155
(484) 526-7575
(484) 526-7570
Mailing address
701 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1155
(484) 526-7575
(484) 526-7570
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD069882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001039770
—
PA
Enumeration date
10/11/2006
Last updated
08/22/2013
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