Individual provider · Type 1 NPI
Neil Cullen Heffernan, PA
Surgical Physician Assistant · Wilkes-Barre, PA
NPI number
1790709871
Active
Practice location
1111 Eastend Blvd
Wilkes-Barre, PA 18711
Mailing address
30 Farmhouse Rd
Mountain Top, PA 18707-1725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA001791L (PA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Wilkes-Barre
About NPI 1790709871
Neil Cullen Heffernan, PA's National Provider Identifier is 1790709871, issued on Jul 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Jul 9, 2007.