Provider Demographics
NPI:1629142393
Name:LOPE DE HARO, HELEN (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:LOPE DE HARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 NOTCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06471-1826
Mailing Address - Country:US
Mailing Address - Phone:203-483-1119
Mailing Address - Fax:203-643-0096
Practice Address - Street 1:337 NOTCH HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06471-1826
Practice Address - Country:US
Practice Address - Phone:203-483-1119
Practice Address - Fax:203-643-0096
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT029843207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTNHP207OtherOXFORD
CT010029843CT04OtherBLUE SHIELD
CT4112432OtherAETNA
CT4396210OtherCIGNA
CT0V2028OtherHEALTHNET
CT702984OtherCONNECTICARE
CT4112432OtherAETNA
CT702984OtherCONNECTICARE