Individual
ANNA HENISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2784
(860) 679-4126
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
015924
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159243
—
CT
Enumeration date
06/22/2005
Last updated
06/04/2008
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