Individual
MR. JARED D HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7 MILL POND RD, GRANBY, CT 06035-2637
(860) 653-2382
Mailing address
7 MILL POND RD, GRANBY, CT 06035-2637
(860) 653-2382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4220
CT
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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