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Individual

DR. IRVIN R JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 WEST ST, DANBURY, CT 06810-6528
(203) 748-5689
(203) 790-8183
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 748-5689
(203) 790-8183

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0015203
CT
2084P0804X
Child & Adolescent Psychiatry Physician
0015203
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010015203CT01
ANTHEM BLUE CROSS BLUE SH
01
203644
MHN
Enumeration date
11/17/2006
Last updated
09/11/2025
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