Provider Demographics
NPI:1902810203
Name:PASS, HELEN ALEXANDRA (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ALEXANDRA
Last Name:PASS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:WINONA
Other - Last Name:POGRENIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:32 STRAWBERRY HILL CT
Mailing Address - Street 2:4TH FLOOR, SUITE 8
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2594
Mailing Address - Country:US
Mailing Address - Phone:203-276-4255
Mailing Address - Fax:203-276-4259
Practice Address - Street 1:32 STRAWBERRY HILL CT
Practice Address - Street 2:4TH FLOOR, SUITE 8
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2594
Practice Address - Country:US
Practice Address - Phone:203-276-4255
Practice Address - Fax:203-276-4259
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0512492086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery