Individual
EVA HEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4404
Mailing address
369 MIDDLE HANCOCK RD, PETERBOROUGH, NH 03458-2003
(860) 912-9322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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