Provider Demographics
NPI:1760416085
Name:HEIN, EDWARD W (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:W
Last Name:HEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2210 RIDGEWOOD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1287
Mailing Address - Country:US
Mailing Address - Phone:610-372-0502
Mailing Address - Fax:
Practice Address - Street 1:2210 RIDGEWOOD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1287
Practice Address - Country:US
Practice Address - Phone:610-372-0502
Practice Address - Fax:610-372-9554
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2013-11-27
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Provider Licenses
StateLicense IDTaxonomies
PAMD034550E207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB96527Medicare UPIN
PA459398JPUMedicare PIN