DR. Elise Marie Henricks, MD
NPI #1154392850 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1154392850
- Entity Type
- Individual
- Name
- DR. Elise Marie Henricks, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jan 30, 2006
- Last Updated
- Jan 9, 2012
Practice Location
- Address
- 415 COLUMBIA RD
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02125-2424
- Phone
- (617) 740-8075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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