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Individual

MR. PAUL E HEEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2514 BOSTON POST RD, STE 7C, GUILFORD, CT 06437
(203) 453-9888
(203) 453-0517
Mailing address
2514 BOSTON POST RD, STE 7C, GUILFORD, CT 06437
(203) 453-9888
(203) 453-0517

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000401
CT
111N00000X
Chiropractor
38MC00244100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050000401CT01
ANTHEM BL CROSS
01
3384
HEALTHNET PHS
01
P412768
OXFORD
Enumeration date
07/17/2006
Last updated
07/08/2007
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