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NPI Code Detail

MEDICARE: AGATHA HECHT APRN

MEDICARE: AGATHA HECHT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner003104CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730181348
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGATHA HECHT APRN
Provider Business Mailing Address
First Line : 1000 ASYLUM AVE
Second Line : SUITE 2109A
City : HARTFORD
State : CT
Zip : 06105-1770
Country : US
Telephone Number : 860-714-6581
Fax Number : 860-714-8311
Provider Business Practice Location Address
First Line : 94 WOODLAND ST
Second Line : CANCER CENTER
City : HARTFORD
State : CT
Zip : 06105-1217
Country : US
Telephone Number : 860-714-4680
Fax Number : 860-714-8057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 02/24/2009

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Directions to “ AGATHA HECHT APRN” Practice Location

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