Individual
DR. BRIAN BARRY HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 MORGAN ST, STE 202, STAMFORD, CT 06905-5466
(203) 348-2922
(203) 358-8721
Mailing address
90 MORGAN ST, STE 202, STAMFORD, CT 06905-5466
(203) 348-2922
(203) 358-8721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025350
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010025350CT01
BLUE CROSS BLUE SHIELD
CT
01
—
020139
HEALTH NET
CT
05
—
1253509
—
CT
01
—
253500
CONNECTICARE
CT
01
—
ZP125
OXFORD
CT
Enumeration date
12/26/2006
Last updated
07/09/2007
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