Individual
MR. KURT HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
19 GEORGE ST, ANSONIA, CT 06401-1509
(203) 545-8483
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131900
CT
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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