DANIEL HEACOCK

NEW HAVEN, CT
NPI1134367725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  002232)
Enumeration Date2009-02-04
Last Update Date2010-03-18
Business Address
-- DANIEL HEACOCK PA-C
20 YORK ST CB-2041 YNH MEDICAL SERVICES PC
NEW HAVEN, CT 06510
Phone number: 203-688-4748
Mailing Address
-- DANIEL HEACOCK PA-C
20 YORK ST CB-2041 YNH MEDICAL SERVICES PC
NEW HAVEN, CT 06510
Phone number: 203-688-4748
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