Southern Connecticut Geriatric & Preventive Medicine LLC
NPI #1679701882 in New Haven, Connecticut
Provider Information
- NPI Number
- 1679701882
- Entity Type
- Organization
- Organization Name
- Southern Connecticut Geriatric & Preventive Medicine LLC
- Primary Specialty
- Preventive Medicine - Public Health & General Preventive Medicine
- Enumeration Date
- Jun 25, 2009
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 390 LIVINGSTON ST
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06511-1336
- Phone
- (203) 871-9224
Authorized Official
- Name
- DR. ASEFEH HEIAT, M.D., M.P.H.
- Title
- MEMBER
- Phone
- (203) 871-9224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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