Individual
HEATHER E FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST STE 1003, HARTFORD, CT 06106-5529
(860) 696-2290
Mailing address
85 SEYMOUR ST, STE 1022, HARTFORD, CT 06106-5530
(203) 200-8187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4682
CT
363AS0400X
Surgical Physician Assistant
Primary
4682
CT
Other
Enumeration date
01/06/2020
Last updated
02/19/2021
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