Individual
MR. KEITH HALDEMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
850 LANGHORNE-YARDLEY RD, LANGHORNE, PA 19047
(215) 817-4693
Mailing address
850 LANGHORNE YARDLEY RD, LANGHORNE, PA 19047-1570
(215) 817-4693
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000292L
PA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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