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Individual

JACQUELINE K. HENCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Mailing address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
014731
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001147314
CT
01
010014731CT03
ANTHEM BC/BS
CT
01
061561581
CIGNA
CT
01
0Q2382
HEALTH NET
CT
01
110196702
RAIL ROAD MEDICARE
CT
01
180747
WELLCARE OF CT
CT
01
2026136
AETNA
CT
01
714531
CONNECTICARE
CT
01
P488325
OXFORD
CT
Enumeration date
08/10/2005
Last updated
01/09/2009
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