Basic Information
Provider Information
NPI: 1477639953
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HORSTMANN
FirstName: HELEN
MiddleName: MEEKS
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MEEKS
OtherFirstName: HELEN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 5
Mailing Information
Address1: 100 E PENN SQ
Address2: THE WANAMAKER BLDG. 9TH FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191073323
CountryCode: US
TelephoneNumber: 2674259538
FaxNumber: 2674259552
Practice Location
Address1: 34TH & CIVIC CENTER BLVD
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191044306
CountryCode: US
TelephoneNumber: 2155901527
FaxNumber: 2155901501
Other Information
ProviderEnumerationDate: 10/27/2006
LastUpdateDate: 03/19/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD014304EPAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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