| James Michael Heneghan, MD | |
|
320 Pomfret St, Department Of Pathology, Putnam, CT 06260-1836 | |
| (860) 928-6541 | |
| Not Available |
| Full Name | James Michael Heneghan |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 320 Pomfret St, Putnam, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649223058 | NPI | - | NPPES |
| 001303388 | Medicaid | CT | |
| 2091020 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 76901 (Massachusetts) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 76901 (Massachusetts) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Heneghan, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | James Michael Heneghan, MD 320 Pomfret St, Department Of Pathology, Putnam, CT 06260-1836 Ph: (860) 928-6541 |