Individual
MARK W HENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, CANCER CENTER GROUND FLOOR, BUFFALO, NY 14263
(716) 845-2300
Mailing address
ELM AND CARLTON ST, CANCER CENTER GROUND FLOOR, BUFFALO, NY 14263
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
256860
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD426092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03226262
—
NY
Enumeration date
10/16/2006
Last updated
02/24/2022
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