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Individual
MS. INGRID Y HENAR
Active
Individual
MS. INGRID Y HENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51855
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
51855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060594A
—
MA
01
—
J08794
BLUE CROSS
MA
Enumeration date
02/13/2006
Last updated
12/04/2019
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