Basic Information
| Provider Information | |||||||||
| NPI: | 1275806960 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HENT LLC | ||||||||
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| OtherOrganizationName: | HERITAGE EAR, NOSE & THROAT & FACIAL PLASTIC SURGERY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2025 TECHNOLOGY PKWY | ||||||||
| Address2: | STE G-03 | ||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170509400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177289700 | ||||||||
| FaxNumber: | 7177289800 | ||||||||
| Practice Location | |||||||||
| Address1: | 2025 TECHNOLOGY PKWY | ||||||||
| Address2: | STE G-03 | ||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170509400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177289700 | ||||||||
| FaxNumber: | 7177289800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2012 | ||||||||
| LastUpdateDate: | 10/12/2020 | ||||||||
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| AuthorizedOfficialLastName: | ABRAM | ||||||||
| AuthorizedOfficialFirstName: | ADAM | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7177289700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 10/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207YS0123X | MD055634L | PA | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology | Facial Plastic Surgery | 207YX0007X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology | Plastic Surgery within the Head & Neck | 231H00000X | N | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist | 207YX0905X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngology/Facial Plastic Surgery |
No ID Information.