Individual
DR. HEATHER M NISBETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 OLD WATERBURY RD, SUITE 201, SOUTHBURY, CT 06488-3848
(203) 264-6503
(203) 262-1430
Mailing address
22 OLD WATERBURY ROAD, SUITE 201, SOUTHBURY, CT 06488-3848
(203) 264-6503
(203) 262-1430
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
032576
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004394532
—
CT
Enumeration date
05/24/2006
Last updated
07/20/2010
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