Individual
THOMAS A. HENNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COURT STREET THE CHESHIRE MEDICAL CENTER, EMERGENCY MEDICINE DEPARTMENT, KEENE, NH 03431
(603) 354-6600
(603) 354-6605
Mailing address
580 COURT ST, EMERGENCY MEDICINE DEPARTMENT, KEENE, NH 03431-1718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9266
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209758
—
NH
01
—
871897
ABEM CERTIFICATE
—
01
—
9266
STATE LICENSE
NH
Enumeration date
10/19/2006
Last updated
03/07/2023
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