Basic Information
| Provider Information | |||||||||
| NPI: | 1558307025 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HELBURN | ||||||||
| FirstName: | DANIEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 WASHINGTON AVE | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | HAMDEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065183267 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032483013 | ||||||||
| FaxNumber: | 2032482878 | ||||||||
| Practice Location | |||||||||
| Address1: | 46 PRINCE ST | ||||||||
| Address2: | SUITE 407 | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037772170 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2006 | ||||||||
| LastUpdateDate: | 10/17/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 033660 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 2047245 | 01 | CT | AETNA | OTHER | 336600 | 01 | CT | CONNECTICARE | OTHER | 010033660CT01 | 01 | CT | BLUE CROSS | OTHER | 0Q2050 | 01 | CT | HEALTH NET | OTHER | NHP089 | 01 | CT | OXFORD | OTHER | 110167935 | 01 | CT | RAILROAD MEDICARE | OTHER |