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Individual

DR. NIALL MERCER HENEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MB MD

Contact information

Practice address
55 FRUIT STREET GRB 1102, DEPARTMENT OF UROLOGY, BOSTON, MA 02114
(617) 726-3011
(617) 726-6131
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
37668
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037668
TUFTS HEALTH PLAN
MA
05
2029766
MA
01
M08844
BCBS MA
MA
Enumeration date
02/24/2006
Last updated
07/08/2007
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