Individual
DR. BRIAN J. HENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
1305 POST RD, STE 301, FAIRFIELD, CT 06824-6016
(203) 255-4325
Mailing address
1305 POST RD, STE 301, FAIRFIELD, CT 06824-6016
(203) 255-4325
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
000248
CT
207Q00000X
Family Medicine Physician
000248
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004223385
—
CT
Enumeration date
06/30/2006
Last updated
08/09/2013
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