Individual
ASEFEH HEIAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
390 LIVINGSTON ST, NEW HAVEN, CT 06511-1336
(203) 871-9224
Mailing address
390 LIVINGSTON ST, NEW HAVEN, CT 06511-1336
(203) 871-9224
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
041288
CT
2083P0901X
Public Health & General Preventive Medicine Physician
041288
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001412882
—
CT
Enumeration date
07/22/2005
Last updated
11/25/2019
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