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1164441069
MICHAEL M. HENNELLY
PHILADELPHIA, PA
NPI
1164441069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OS010405L)
Enumeration Date
2006-07-19
Last Update Date
2007-07-12
Business Address
-- MICHAEL M. HENNELLY D.O.
3998 RED LION RD EMERGENCY DEPARTMENT
PHILADELPHIA, PA 19114-1436
Phone number: 215-612-4000
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Mailing Address
-- MICHAEL M. HENNELLY D.O.
PO BOX 8500-6335
PHILADELPHIA, PA 19178-0001
Phone number: 215-807-8000
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