Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 12382 | NH |
NPI | 1427113653 |
---|---|
Provider Name | Dr. Anton Albert Heins III |
First Address | Amherst, NH 03031-2627 |
Second Address | Bedford, NH 03110-6701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 08/07/2007 |