Individual
MS. INGRID Y HENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SOUTH COVE COMMUNITY CENTER, 277 COMMERCIAL STREET, MALDEN, MA 02148
(617) 253-1505
Mailing address
INGRID HENAR MD/SOUTH COVE COMMUNITY HEALTH CENTER, 277 COMMERCIAL STREET, MALDEN, MA 02148
(617) 253-1505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51855
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
51855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060594A
—
MA
01
—
J08794
BLUE CROSS
MA
Enumeration date
02/13/2006
Last updated
12/04/2019
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