Organization
SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASEFEH HEIAT M.D., M.P.H. (MEMBER)
(203) 871-9224
Entity
Organization
Contact information
Practice address
390 LIVINGSTON ST, NEW HAVEN, CT 06511-1336
(203) 871-9224
Mailing address
390 LIVINGSTON ST, NEW HAVEN, CT 06511-1336
(203) 871-9224
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
041288
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
041288
CT
Other
Enumeration date
06/25/2009
Last updated
10/04/2021
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