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Individual

PHILIP HENNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-3233
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
159859
MA

Other

Enumeration date
10/06/2006
Last updated
03/11/2011
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