Individual
JENS ERIK HAERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
57 NORTH STREET, DANBURY COMMUNITY HEALTH CENTER, DANBURY, CT 06810
(203) 743-0100
Mailing address
11 ORCHARD LN, RIDGEFIELD, CT 06877-5519
(203) 460-0948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001309
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001309
LICENSE NUMBER
CT
Enumeration date
01/25/2007
Last updated
07/28/2014
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