Individual
DANIEL A HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 WILLIAM F PALMER RD, MOODUS, CT 06469-1132
(860) 358-5220
(860) 358-8659
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
067550
CT
Other
Enumeration date
05/01/2017
Last updated
07/02/2021
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