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Individual
DR. MARK RICHARD HENRY
Active
Individual
DR. MARK RICHARD HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053319L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001516352
—
PA
01
—
1060701
CAPITAL BLUE CROSS-WMG
PA
01
—
1142348
AMERIHEALTH MERCY-WMG
PA
01
—
233496
MAMSI-WMG
PA
01
—
30032
JOHNS HOPKINS
PA
01
—
39761
GEISINGER
PA
01
—
542992
CAREFIRST MD BCBS
MD
01
—
5898005
AETNA
PA
01
—
681097
HIGHMARK BLUE SHIELD
PA
01
—
80745
UNISON-WMG
PA
01
—
P002800
GATEWAY-WMG
PA
Enumeration date
07/05/2006
Last updated
02/27/2018
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