| Jane M Heaney Do Pc | |
|
110 Levering St Philadelphia PA 19127-1404 | |
| (215) 483-7200 | |
| (215) 483-2122 |
| Full Name | Jane M Heaney Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Levering St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jane M Heaney (PRESIDENT OWNER) |
| Authorized Official Contact | 2154837200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane M Heaney Do Pc 4000 Gypsy Ln Unit 405 Philadelphia PA 19129-5426 Ph: (215) 848-4062 | Jane M Heaney Do Pc 110 Levering St Philadelphia PA 19127-1404 Ph: (215) 483-7200 |
| NPI Number | 1659578151 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659578151 | NPI | - | NPPES |
| 2258275001 | Other | PA | KEYSTONE |
| 4547198 | Other | PA | AETNA |
| 00118925-0002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS 005958-L (Pennsylvania) | Primary |
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