National Provider Identifier
Edwin Heidelberger, MD PHD
Edwin Heidelberger, MD PHD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Springville, NY and a listed phone number of (716) 592-3635.
Profile Overview
- NPI
- 1821070970
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- November 15, 2005
- Last Updated
- March 13, 2008
Practice Location
- 210 E Main St
- Springville, NY 14141-1442
Phone: (716) 592-3635
Specialties
- Internal Medicine Physician (207R00000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1821070970
- Entity Type
- Individual
- Last Name
- Heidelberger
- First Name
- Edwin
- Name Prefix
- Dr.
- Credential
- MD PHD
- Mailing Street Address
- 210 E Main St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-1442
- Mailing Country
- US
- Mailing Phone
- (716) 592-3635
- Mailing Fax
- (716) 592-2929
- Practice Street Address
- 210 E Main St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1442
- Practice Country
- US
- Practice Phone
- (716) 592-3635
- Practice Fax
- (716) 592-2929
- Enumeration Date
- November 15, 2005
- Last Updated
- March 13, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)
- Other Identifiers
- 190805 (NY, Workers Comp), 00020006701 (NY, Univera), 0145550001 (NY, Dmerc), 01458795 (NY), 0003153 (NY, Ghi), 0408931AOA (NY, Independent Health), 000523119009 (NY, BCBS)