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Michael M. Hennelly, DO
Emergency Medicine Physician in Philadelphia, Pennsylvania
NPI 1164441069

Michael M. Hennelly is a Emergency Medicine Physician based in Philadelphia, PA. Michael M. Hennelly practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Michael M. Hennelly is 1164441069 and holds a License No. OS010405L (Pennsylvania).

The current practice location address for Michael M. Hennelly is 3998 Red Lion Rd, Philadelphia, PA and can be reached out via phone at 215-612-4000 and via fax at 215-807-8235.

Location: 3998 Red Lion Rd, Philadelphia, PA, 19178-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164441069
Provider Name
Michael M. Hennelly
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3998 Red Lion Rd, Philadelphia, PA, 19178-0001
Phone Number
215-612-4000
Fax Number
215-807-8235
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019010010001 05 PA
1027108 01 PA CIGNA
1399033 01 PA HIGHMARK BLUE SHIELD
20045133 01 PA AMERIHEALTH MERCY
01901001-02 01 PA AMERICHOICE- FRANKFORD
1399033 01 PA PERSONAL CHOICE
00190010010003 05 PA
01901001-01 01 PA AMERICHOICE- TORRES
1164798 01 PA KEYSTONE MERCY
07645 01 PA HEALTH PARTNERS
2087612000 01 PA KEYSTONE IBC
452729 01 PA AETNA CONTRACT
0019010010002 05 PA
01901001-03 01 PA AMERICHOICE- BUCKS
institution
Provider Business Practice Location Address Details
Address
3998 Red Lion Rd
City
Philadelphia
State
Pennsylvania
Zip
19114-1436
Phone Number
215-612-4000
Fax Number
215-807-8235
person
Provider Business Mailing Address Details
Address
3998 Red Lion Rd
City
Philadelphia
State
Pennsylvania
Zip
19114-1436
Phone Number
215-612-4000
Fax Number
215-807-8235
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
OS010405L (Pennsylvania)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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