Organization
JAMES R. HENNESSY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT HENNESSY M.D. (PHYSICIAN)
(419) 350-6739
Entity
Organization
Contact information
Practice address
28442 E. RIVER ROAD, SUITE 203, PERRYSBURG, OH 43551
(419) 350-6739
(419) 251-3845
Mailing address
2222 CHERRY STREET, SUITE 2800, TOLEDO, OH 43608
(419) 350-6739
(419) 251-3845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35043054
OH
2080P0202X
Pediatric Cardiology Physician
Primary
35043054
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309253
—
OH
Enumeration date
01/27/2012
Last updated
01/27/2012
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