Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD426555 | PA |
Y | 2080P0214X | Pediatric Pulmonologist | C10008678 | DE |
NPI | 1437369840 |
---|---|
Provider Name | Robert A Heinle |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 26/09/2011 |