Individual
TYLER HECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, DEPT OF SURGERY, BRIDGEPORT, CT 06606
(475) 210-7436
Mailing address
2800 MAIN ST, DEPT OF SURGERY, BRIDGEPORT, CT 06606-4201
(475) 210-7436
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5123
CT
Other
Enumeration date
11/04/2020
Last updated
03/19/2021
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