Henretta, Melissa Susan

Henretta, Melissa Susan is an individual health care provider with primary practice located at 114 Woodland St , Hartford CT 06105-1208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Henretta, Melissa Susan can be contacted via phone (860) 714-4000.

Contact Information

Primary practice address
114 Woodland St Hartford CT 06105-1208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 261553 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 56675 Connecticut

Profile Details

NPI number 1518175173
LBN Legal business name Henretta, Melissa Susan
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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