Heller, Cynthia B

Heller, Cynthia B is an individual health care provider with primary practice located at 1559 Sullivan Ave Hartford Medical Group, South Windsor CT 06074-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Heller, Cynthia B can be contacted via phone (860) 696-2350.

Contact Information

Primary practice address
1559 Sullivan Ave Hartford Medical Group South Windsor CT 06074-2712
Phone: (860) 696-2350
Fax: (860) 696-2360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 030644 Connecticut

Profile Details

NPI number 1639155179
LBN Legal business name Heller, Cynthia B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Oct 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639155179 NPPES
Connecticut MEDICAID 001306449

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