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NPI Code Detail

MEDICARE: DAVID HENDRICKS MD

MEDICARE: DAVID HENDRICKS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician040912CT
22084P0800XPsychiatry Physician287808MA

General Provider Information

NPI Number : 1952420390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HENDRICKS MD
Provider Business Mailing Address
First Line : 500 E MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-2911
Country : US
Telephone Number : 203-260-1375
Fax Number :
Provider Business Practice Location Address
First Line : 500 E MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-2911
Country : US
Telephone Number : 203-260-1375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 06/06/2025

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Directions to “ DAVID HENDRICKS MD” Practice Location

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