Individual
JOSEPH HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 757-7000
Mailing address
39 KELLEY ST, BRISTOL, CT 06010-5704
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
003492
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079840
LICENSE NO.
CT
Enumeration date
11/07/2006
Last updated
07/08/2007
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