Provider Demographics
NPI:1669609962
Name:HELLSTERN, MEREDITH LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:LYNNE
Last Name:HELLSTERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-2121
Mailing Address - Country:US
Mailing Address - Phone:570-253-5838
Mailing Address - Fax:570-253-6678
Practice Address - Street 1:1837 FAIR AVE
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-2121
Practice Address - Country:US
Practice Address - Phone:570-253-5838
Practice Address - Fax:570-253-6678
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD448661208000000X
VA0101252247208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028220210002Medicaid
PA1028220210004Medicaid
PA1028220210001Medicaid
PA1028220210003Medicaid