Most Relevant Information
Provider Data
| NPI Number: | 1003673898 |
| Provider Name: | HEATHER LANDERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 1790 |
Most Important Dates
| Enumeration Date: | 02/28/2024 |
| Last Updated: | 02/28/2024 |
Provider Practice Location
161 BERLIN RD STE 703
CROMWELL
CT
064161048
Practice Location Phone/Fax
| Phone: | 8606356221 |
| Fax: | 8606326221 |
Provider Mailing Location
161 BERLIN RD STE 703
CROMWELL
CT
064161048
Provider Mailing Phone/Fax
| Phone: | 8606356221 |
| Fax: | 8606326221 |