John Isaac Blanco Heintz, MD, PhD
Internal Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669965059
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1669965059
- Entity type
- Individual (NPI-1)
- Name
- John Isaac Blanco Heintz
- Credential
- MD, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2018
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD478200 | PA | Yes |
| 208M00000X | Hospitalist | 35.142497 | OH | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1207 Chestnut StPhiladelphia, PA 19107-4131
Phone 267-725-0252 · Fax 215-309-1129
Mailing address
1233 Locust St Fl 3Philadelphia, PA 19107-5400
Phone 215-985-4448 · Fax 855-634-9302
Other practice locations
3400 Spruce St
Philadelphia, PA 19104-4238
Philadelphia, PA 19104-4238
Phone 215-662-2200
410 W 10th Ave
Columbus, OH 43210-1240
Columbus, OH 43210-1240
Phone 614-293-7499 · Fax 614-366-2360
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