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Individual

ASEFEH HEIAT

Active
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Individual

ASEFEH HEIAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

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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