Dr. Jonathan David Heiliczer
Pediatric Nephrologist
St. Christopher's Hospital For Children Erie Avenue At Front Street
Philadelphia
, Pennsylvania 19134-1095
Dr. Jonathan David Heiliczer
Pediatric Nephrologist
St. Christopher's Hospital For Children Erie Avenue At Front Street
Philadelphia
, Pennsylvania 19134-1095
(215) 427-5190
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Jonathan David Heiliczer
- St. Christopher's Hospital For Children Erie Avenue At Front Street
- Philadelphia, PA
- Zip : 19134-1095
- Phone : (215) 427-5190
Second Address
- Dr. Jonathan David Heiliczer
- St. Christopher's Hospital For Children Erie Avenue At Front Street
- Philadelphia, PA
- Zip : 19134-1095
- Fax : (215) 427-5351
- Phone : (215) 427-5190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0210X | Pediatric Nephrologist | 25MA03488100 | NJ |
| Y | 2080P0210X | Pediatric Nephrologist | MD426008 | PA |
National Provider Identifier
| NPI | 1265480248 |
|---|---|
| Provider Name | Dr. Jonathan David Heiliczer |
| First Address | Philadelphia, PA 19134-1095 |
| Second Address | Philadelphia, PA 19134-1095 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1012386320001 | (05) | PA |
| B14373 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.