Individual
JEFFREY M HEFTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Mailing address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043021
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00640491
RAILROAD MEDICARE PTAN
CT
Enumeration date
02/07/2006
Last updated
04/20/2018
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