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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NEIL CULLEN HEFFERNAN, PA

Active Sole Proprietor

MR. NEIL CULLEN HEFFERNAN, PA is a Surgical Physician Assistant healthcare provider located in WILKES-BARRE, Pennsylvania. NPI 1790709871 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · WILKES-BARRE, PA

Registration Details

NPI Number
1790709871
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.06791939823 yrs)
Last Updated
Jul 9, 2007
License
MA001791L (PA)
Sole Proprietor
Yes

Practice Information

Address
1111 EASTEND BLVD
WILKES-BARRE, PA, 18711
Browse PA providers · Browse ZIP 18711
Phone
5708243521
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in WILKES-BARRE, PA

Name Credential NPI
MS. MELISSA A. ZAMBETTI PA-C 1144332206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.