Provider Demographics
NPI:1912904756
Name:DENEHY, THAD R (MD)
Entity Type:Individual
Prefix:
First Name:THAD
Middle Name:R
Last Name:DENEHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:101 OLD SHORT HILLS RD
Mailing Address - Street 2:STE 400
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1000
Mailing Address - Country:US
Mailing Address - Phone:973-243-9300
Mailing Address - Fax:973-325-8254
Practice Address - Street 1:101 OLD SHORT HILLS RD
Practice Address - Street 2:STE 400
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1000
Practice Address - Country:US
Practice Address - Phone:973-243-9300
Practice Address - Fax:973-325-8254
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2024-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04766500207V00000X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E59092Medicare UPIN
NJ631056R12Medicare ID - Type Unspecified