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Henly Horace Hewan

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as HENLY HEWAN.

Based on the most recent information from CMS, provider Henly Horace Hewan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1508421306
Provider Type
Individual
Full Name
Hewan, Henly Horace
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/7/2019
Last Updated
3/10/2025

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3220

(203) 688-4242

Unlisted Fax

Mailing Location

225 Winchester Ave Apt 2, New Haven, CT 06511-3682

(917) 459-3699

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 69949 Connecticut
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 69949 Connecticut
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 69949 Connecticut
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Henly Horace Hewan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

Description

License

Code

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License

Code

Description

License

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