Provider Demographics
NPI:1740683325
Name:HELLER, SNIR
Entity type:Individual
Prefix:
First Name:SNIR
Middle Name:
Last Name:HELLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S 9TH ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5125
Mailing Address - Country:US
Mailing Address - Phone:267-339-3795
Mailing Address - Fax:215-339-3696
Practice Address - Street 1:125 S 9TH ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5125
Practice Address - Country:US
Practice Address - Phone:267-339-3795
Practice Address - Fax:215-339-3696
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD452558207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery