Individual
MS. HEATHER MICHELLE RYNKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 MONTAUK AVE, OFFICE # 3.525, NEW LONDON, CT 06357
(860) 442-0711
(860) 271-4988
Mailing address
365 MONTAUK AVE, OFFICE # 3.525, NEW LONDON, CT 06357
(860) 442-0711
(860) 271-4988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.003003
CT
363AS0400X
Surgical Physician Assistant
00729
RI
363AS0400X
Surgical Physician Assistant
23.003003
CT
363AS0400X
Surgical Physician Assistant
Primary
3003
CT
Other
Enumeration date
10/04/2013
Last updated
11/08/2018
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