Basic Information
| Provider Information | |||||||||
| NPI: | 1164652442 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HELLER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | OBOZA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 FLOWERS DR | ||||||||
| Address2: | |||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170501701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176918750 | ||||||||
| FaxNumber: | 7176918755 | ||||||||
| Practice Location | |||||||||
| Address1: | 9 FLOWERS DR | ||||||||
| Address2: | |||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170501701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176918750 | ||||||||
| FaxNumber: | 7176918755 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2009 | ||||||||
| LastUpdateDate: | 04/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD437933 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 254058 | NY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.