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Individual

NICHOLAS J HEIDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7000
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
5869
CT
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
08/16/2022
Last updated
11/02/2022
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