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Individual

EDITH HERGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
546 CROMWELL AVE, SUITE 101, ROCKY HILL, CT 06067-1800
(847) 477-3809
(847) 477-3809
Mailing address
238 CONGDON ST E, MIDDLETOWN, CT 06457-2063
(860) 996-1569
(860) 257-7999

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036082560
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
50738
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036082560
IL
Enumeration date
03/10/2006
Last updated
04/18/2025
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