Individual
MELISSA MARIE HEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 YORK STREET, NEW HAVEN, CT 06511
(203) 688-2182
Mailing address
237 ELM ST, OLD SAYBROOK, CT 06475-1119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2309
CT
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
03/04/2021
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