Provider Demographics
NPI:1487691754
Name:SQUICCIARINI, HELENA T (DO)
Entity type:Individual
Prefix:DR
First Name:HELENA
Middle Name:T
Last Name:SQUICCIARINI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5520 PARK AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3463
Mailing Address - Country:US
Mailing Address - Phone:203-374-1018
Mailing Address - Fax:203-396-0699
Practice Address - Street 1:5520 PARK AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3463
Practice Address - Country:US
Practice Address - Phone:203-374-1018
Practice Address - Fax:203-396-0699
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY237733207V00000X
CT049283207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology