Individual
DAVID HUBER HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 BROAD ST, SUITE 422, SEWICKLEY, PA 15143-1652
(412) 741-8700
(412) 741-3710
Mailing address
701 BROAD ST, SUITE 422, SEWICKLEY, PA 15143-1652
(412) 741-8700
(412) 741-3710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD021049E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0632446
—
PA
Enumeration date
10/10/2005
Last updated
10/16/2012
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