James Michael Heneghan, MD | |
320 Pomfret St, Department Of Pathology, Putnam, CT 06260-1836 | |
(860) 928-6541 | |
Not Available |
Full Name | James Michael Heneghan |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology |
Location | 320 Pomfret St, Putnam, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649223058 | NPI | - | NPPES |
001303388 | Medicaid | CT | |
2091020 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 76901 (Massachusetts) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 76901 (Massachusetts) | Secondary |
Mailing Address | Practice Location Address |
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James Michael Heneghan, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | James Michael Heneghan, MD 320 Pomfret St, Department Of Pathology, Putnam, CT 06260-1836 Ph: (860) 928-6541 |