Provider Demographics
NPI:1265536759
Name:EDE, HELEN (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:EDE
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 1:1291 BOSTON POST RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-3476
Mailing Address - Country:US
Mailing Address - Phone:203-421-0444
Mailing Address - Fax:203-349-8223
Practice Address - Street 1:1291 BOSTON POST RD STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-3476
Practice Address - Country:US
Practice Address - Phone:203-421-0444
Practice Address - Fax:203-349-8223
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0981670OtherCIGNA
CT001421916Medicaid
CT0100042191CT01OtherANTHEM BC/BS
CT042191OtherCONNECTICARE
CT3613150OtherAETNA
CT0100042191CT01OtherANTHEM BC/BS
CT3613150OtherAETNA
CT061554188OtherUNITED HEALTHCARE
CT0981670OtherCIGNA
CT2V6015OtherHEALTHNET
CTP00206479OtherRAILROAD MEDICARE
CTP34025680OtherOXFORD HEALTHPLAN
CT080001679Medicare PIN