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Contact Information

BRIAN B HENNESSY, MD
90 MORGAN ST
STE 202
STAMFORD, CT06905-5466
 Phone: 203-348-2922
 Fax: 203-358-8721
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN B HENNESSY · (Male)

NPI Number 1013072453
Status Active
Credentials MD
Entity Individual
Enumeration date 12/26/2006
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 025350
  • CT Medicaid 1253509
  • CT Other 010025350CT01 BLUE CROSS BLUE SHIELD
  • CT Other 253500 CONNECTICARE
  • CT Other 020139 HEALTH NET
  • CT Other ZP125 OXFORD
Hospital affiliation(s)
  • GREENWICH HOSPITAL ASSOCIATION - (Acute Care)
    5 PERRYRIDGE RD
    GREENWICH, CT 06830
  • STAMFORD HOSPITAL - (Acute Care)
    30 SHELBURNE ROAD
    STAMFORD, CT 06904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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