Provider Demographics
NPI:1568485100
Name:HEFFER, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:HEFFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:201 WHITES HILL LANE
Mailing Address - Street 2:QUENTIN MEDICAL GROUP, LLC
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824
Mailing Address - Country:US
Mailing Address - Phone:203-256-0646
Mailing Address - Fax:203-292-7026
Practice Address - Street 1:201 WHITES HILL LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-2177
Practice Address - Country:US
Practice Address - Phone:203-256-0646
Practice Address - Fax:203-292-7026
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT038137207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G73797Medicare UPIN
CT930000634Medicare ID - Type Unspecified