Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 52070 | WI |
N | 2080P0202X | Pediatric Cardiologist | C10011176 | DE |
N | 2080P0203X | Pediatric Critical Care Doctor | 52070 | WI |
N | 2080P0203X | Pediatric Critical Care Doctor | C10011176 | DE |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD419622 | PA |
NPI | 1093908485 |
---|---|
Provider Name | David Hehir |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1030031340002 | (05) | PA |
1093908485 | (05) | WI |