person
Daniel Heacock, PA-C
Medical Physician Assistant in New Haven, Connecticut
NPI 1134367725

Daniel Heacock is a Medical Physician Assistant based in New Haven, CT and is specialized in Medical. Daniel Heacock practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Daniel Heacock is 1134367725 and holds a License No. 002232 (Connecticut).

The current practice location address for Daniel Heacock is 20 York St Cb-2041, New Haven, CT and can be reached out via phone at 203-688-4748 and via fax at 203-688-4740. You can also correspond with Daniel Heacock through the mailing address at 20 YORK ST CB-2041, NEW HAVEN, CT - 06510 (mailing address contact number: 203-688-4748).

Location: 20 York St Cb-2041, New Haven, CT, 06510
person
Provider Profile Details
NPI Number
1134367725
Provider Name
Daniel Heacock
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
20 York St Cb-2041, New Haven, CT, 06510
Phone Number
203-688-4748
Fax Number
203-688-4740
Provider Enumeration Date
02/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 York St Cb-2041
City
State
Zip
06510
Phone Number
203-688-4748
Fax Number
203-688-4740
person
Provider Business Mailing Address Details
Address
20 York St Cb-2041
City
State
Zip
06510
Phone Number
203-688-4748
Fax Number
203-688-4740
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002232 (Connecticut)
Definition
Definition to come...
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