Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | D0066345 | MD |
N | 208000000X | Pediatrician | MD421447 | PA |
Y | 2080P0201X | Pediatric Allergist | 0101245431 | VA |
N | 2080P0201X | Pediatric Allergist | D0066345 | MD |
N | 2080P0201X | Pediatric Allergist | MD038645 | DC |
N | 2080P0201X | Pediatric Allergist | MD421447 | PA |
N | 2080P0204X | Pediatric Emergency Doctor | MD421447 | PA |
NPI | 1427073634 |
---|---|
Provider Name | Meredith L Heltzer |
First Address | Rockville, MD 20852-4908 |
Second Address | Mclean, VA 22102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008869 | (05) | NJ |
100819706 | (05) | PA |
H95107 | (02) |